CHIP State Amendment Plans

Through this SPA, the state removes its waiting period policy, as required by CMS regulations at 42 CFR § 457.805(b), and updates its existing substitution monitoring strategies. Iowa also adds a maximum percentage threshold to measure the level of substitution occurring in the state that, if exceeded, will prompt the state to work with CMS to identify additional strategies to prevent substitution.
 

Through this SPA, the state removes an annual limit of $1,000 for dental services consistent with 42 CFR § 457.480(a). In addition, the state provides an assurance that no annual, lifetime or other aggregate dollar limitations are imposed on any medical or dental services covered under the CHIP State plan.

Through this SPA, the state creates a new Health Services Initiative (HSI) to provide comprehensive coverage during the 12-month postpartum period for mothers whose newborns had been eligible as targeted low-income children under the from-conception-to-end-of-pregnancy (FCEP) option. The benefits provided during this postpartum period are identical to the benefits provided to pregnant women enrolled in Medicaid.

This SPA demonstrates compliance with CHIP mental health parity regulations. Additionally, the state adds benefits for children enrolled in PASSE, and modifies benefit limits for occupational, physical and speech therapy services.

Through this SPA, Georgia demonstrates compliance with section 5121 of the Consolidated Appropriations Act, 2023 (CAA, 2023) by transitioning eligible children who are enrolled in CHIP to Medicaid when they become incarcerated. The state will provide pre-release services to eligible juveniles under the Medicaid state plan.

This amendment implements a health services initiative (HSI) to provide to improve the health of low-income children by increasing their access to needed vision screening services and glasses through a targeted, school-based initiative.

This SPA demonstrates compliance with requirements in the American Rescue Plan Act of 2021 (ARP) that 1) mandate coverage of COVID-19 testing, treatment, and vaccines and their administration without cost-sharing or amount, duration, or scope limitations; and 2) require states to cover, without cost sharing, the treatment of conditions that may seriously complicate COVID- 19 treatment, during the period when a beneficiary is diagnosed with or is presumed to have COVID-19. Additionally, through this SPA, the state eliminates the HUSKY Plus program and incorporates all services previously provided to a subset of children into the existing HUSKY B program, with the exception of non-emergency medical transportation.

Through this SPA, the state removes its waiting period policy, as required by CMS regulations at 42 CFR § 457.805(b), and updates its existing substitution monitoring strategies.

Through this SPA, the state demonstrates compliance with section 5121 of the Consolidated Appropriations Act, 2023 (CAA, 2023) by modifying CHIP eligibility requirements for the treatment of incarcerated youth and providing pre-release services to eligible juveniles.

Through this SPA, the state demonstrates compliance with section 5121 of the Consolidated Appropriations Act, 2023 (CAA, 2023) by modifying CHIP eligibility requirements for the treatment of incarcerated youth and providing pre-release services to eligible juveniles.