CHIP State Plan Amendments
As part of a strategy to increase transparency, enhance efficiency, and reduce burden for states in the review and approval process of state plan amendments (SPA), CMS committed to providing a tool kit to assist states in the development of complete submissions, and facilitate quicker adjudication of SPA submissions. This page provides a collection of existing CHIP SPA templates for completing the templates that will be enhanced as more tools are developed.
States apply for changes to their CHIP state plan using the CHIP State Plan Template (DOCX, 206.04 KB). Persons with disabilities having problems accessing the PDF files may call 410-786-0429 for assistance.
CHIP State Program Information
In order to be eligible for payment under this statute, each State must submit a Title XXI plan for approval by the Secretary that details how the State intends to use the funds and fulfill other requirements under the law and regulations at 42 CFR Part 457.
States can design their CHIP program in one of three ways:
1. Separate CHIP: a program under which a state receives federal funding to provide child health assistance to uninsured, low-income children that meets the requirements of section 2103 of the Social Security Act.
2. Medicaid expansion CHIP: a program under which a state receives federal funding to expand Medicaid eligibility to optional targeted low-income children that meets the requirements of section 2103 of the Social Security Act.
3. Both Separate CHIP and Medicaid expansion: a program under which a state receives federal funding to implement both a Medicaid expansion and a separate CHIP.
CHIP Program by State (PDF, 350.84 KB) has more information about how each state has implemented its program.
To see CHIP information by state, select a state on the map to find details about enrollment and dental providers. Click here for the CHIP Annual Reports.
CHIPRA creates a broad quality mandate for children's health care and authorizes health care quality initiatives for both the Children's Health Insurance Program (CHIP) and Medicaid programs. Persons with disabilities having problems accessing the PDF files may call 410-786-0429 for assistance.
Results
Transmittal Number: ME-20-0007
- Benefits
- Health Service Initiative
Transmittal Number: HI-21-0010
This amendment implements a health services initiative (HSI) to improve the health of low-income children by increasing their access to needed vision services and glasses through a targeted, school-based initiative.
- Benefits
- Health Service Initiative
Transmittal Number: IL-21-0014
- Benefits
- Health Service Initiative
Transmittal Number: CA-21-0032
This amendment implements a health services initiative (HSI) to to provide comprehensive coverage during the 12-month postpartum period for women whose newborns had been covered as targeted low-income children from conception to birth.
- Benefits
- Health Service Initiative
Transmittal Number: LA-21-0017
This SPA demonstrates compliance with CHIP mental health parity regulations.
- Eligibility
Transmittal Number: WI-21-0015
This amendment implements a health services initiative (HSI) to provide to provide case management, in-home education, environmental assessment, durable equipment, and environmental hazard remediation in homes of low-income children with moderate to severe asthma. This SPA also eliminates all copayments in CHIP.
- Benefits
- Cost Sharing
- Health Service Initiative
Transmittal Number: CT-18-0011
This SPA demonstrates compliance with CHIP mental health parity regulations.
- Benefits
Transmittal Number: MS-20-0015-CHIP
- Benefits
Transmittal Number: CO-21-0034
- Benefits
- Financing & Reimbursement
- Program Administration
Transmittal Number: MA-21-0016
- Program Administration