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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.  Persons with disabilities having problems accessing the PDF files may call 410-786-0429 for assistance. To request a Word version of the CHIP State Plan, please contact your CHIP Project Officer.

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 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.

Results

Displaying 301 - 310 of 954

Indiana
This SPA amends Indiana’s previously approved Modified Adjusted Gross Income (MAGI) Methodology template by updating the budgeting methodology for accounting for reasonable and predictable changes in income. Specifically, the methodology will allow for prorating gross monthly income for temporary or seasonal employment.
Approval Date: October 29, 2020
Effective Date: July 1, 2020

North Carolina

This SPA implements the Reach Out and Read Health Services Initiative (HSI) program, which promotes social and emotional development through promoting early literacy, early learning, and school readiness as a part of routine pediatric primary care.

Approval Date: October 13, 2020
Effective Date: July 1, 2020

Georgia
This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date: October 13, 2020
Effective Date: October 24, 2019

Kansas
This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date: September 8, 2020
Effective Date: October 24, 2019

Arizona
This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date: September 3, 2020
Effective Date: October 24, 2019

Rhode Island
This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date: September 2, 2020
Effective Date: October 1, 2019

Washington
Through this SPA, the state will cover all children who have access to employee sponsored coverage.
Approval Date: August 28, 2020
Effective Date: January 1, 2020

Connecticut
The state provides temporary policy adjustments in response to the COVID-19 public health emergency.
Approval Date: August 27, 2020
Effective Date: March 18, 2020

North Dakota
This SPA removes references to the state’s separate CHIP population from the state plan. The separate CHIP population transitioned to the state’s Medicaid program.
Approval Date: August 21, 2020
Effective Date: January 1, 2020
Topics: Current State Plan Eligibility

Wisconsin
The state provides temporary policy adjustments in response to the COVID-19 public health emergency.
Approval Date: August 19, 2020
Effective Date: March 1, 2020