Medicaid policy continues to be a primary driver of innovation in I/DD services. This session examines new and experimental Medicaid waivers, with a particular focus on Section 1115 demonstrations and their impact on care models, funding structures, and service integration. Presenters will review current waiver activity, early results, and state-level trends, helping executives understand how funding mechanisms are shaping the future of I/DD services and where strategic opportunities may exist.