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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.

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Displaying 581 - 590 of 954

Wyoming
The SPA number WY-13-0008 converts the state's existing income eligibility standards to MAGI-equivalent standards, by age group, for children covered in its title XXI-funded Medicaid program. A copy of the approved state plan page (CS3) is attached, and should be incorporated into the state's approved CHIP state plan. This page supersedes the current Medicaid expansion Section (4.0) of the current CHIP state plan.
Approval Date: July 22, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: WY-13-0008-MC2 via email

Washington
Modified Adjusted Gross Income Eligibility.
Approval Date: July 17, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number: WA-14-0002-MC3 via email

Texas
Incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: July 17, 2014
Effective Date: October 1, 2013
Links:
Topics: Program Administration
Share Transmittal Number: TX-13-0035-MC4 via email

Wyoming
The SPA number WY-13-0010 is approved to clarify the state's non-financial eligibility policies on residency, citizenship, social security numbers, substitution of coverage, and continuous eligibility.
Approval Date: July 10, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: WY-13-0010-MC5 via email

Tennessee
This SPA clarifies the state's non-financial eligibility policies on residency, citizenship, social security numbers, substitution of coverage, and continuous eligibility.
Approval Date: July 10, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility Program Administration
Share Transmittal Number: TN-14-0009-MC5 via email

Mississippi
In addition to proposing to come into compliance with CHIPRA's dental requirements, this SPA also clarifies language with regard to the transfer of the separate the Children's Health Insurance Program (CHIP) from the Health Insurance Management Board to the Division of Medicaid (DOM). This SPA also updates the language regarding emergency services clarifying emergent and non-emergent care as well as how the state provides access to covered services.
Approval Date: July 10, 2014
Effective Date: July 1, 2013
Links:
Topics: Benefits Program Administration
Share Transmittal Number: MS-CHIPSPA-8 via email

Iowa
To clarify the state's non-financial eligibility policies on residency citizenship, social security numbers, substitution of coverage, non-payment of premiums, continuous eligibility and presumptive eligibility.
Approval Date: July 7, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility Program Administration
Share Transmittal Number: IA-13-0022-MC5 via email

Missouri
This SPA relates to Modified Adjusted Gross Income Eligibility.
Approval Date: June 25, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility Financing & Reimbursement Program Administration
Share Transmittal Number: MO-14-0019-MC3 via email

Kansas
Provides Assurance that the State will Apply Methodologies Based on MAGI for All Separate CHIP Covered Groups.
Approval Date: June 25, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number: KS-14-0009 via email

New Hampshire
Converts the state's existing income eligibility standards to MAGI-equivalent standards, by age group, for children covered in its title XXI-funded Medicaid program.
Approval Date: June 24, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number: NH-13-9001 via email