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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 621 - 630 of 954

Louisiana
To clarify the state's non-financial eligibility policies on residency, citizenship, social security numbers, substitution of coverage, non-payment of premiums, and continuous eligibility.
Approval Date: April 11, 2014
Effective Date: January 1, 2014
Topics: Financing & Reimbursement Program Administration

Louisiana
Provides assurance that the state will apply methodologies based on MAGI for all separate CHIP covered groups, using the approved MAGI conversion plan income thresholds.
Approval Date: April 8, 2014
Effective Date: January 1, 2014

Rhode Island
Provides Assurance that State will Apply Methodologies based on MAGI for all Separate CHIP Covered Groups.
Approval Date: April 4, 2014
Effective Date: January 1, 2014

Nebraska
This SPA incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Nebraska's CHIP State Plan, in accordance with the Affordable Care Act.
Approval Date: April 3, 2014
Effective Date: October 1, 2013

Wyoming
The SPA number WY-13-0012 describes the state's plan to provide coverage in its separate CHIP, for children subject to section 2101(f) of the Affordable Care Act, as specified in the state's submission of CS14: Children Ineligible for Medicaid as a Result of the Elimination of Income Disregards. A copy of the approved CS14 is attached, and should be incorporated within a separate subsection under section 4.1 of Wyoming's approved CHIP state plan.
Approval Date: March 26, 2014
Effective Date: January 1, 2014

South Carolina
Maintains Medicaid Eligibility for Children Who Would Otherwise be Subject to Section 2101(f) of the Affordable Care Act.
Approval Date: March 26, 2014
Effective Date: January 1, 2014

Iowa
This SPA incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: March 26, 2014
Effective Date: October 1, 2013

Nebraska
Clarifies State's Non-Financial Eligibility Policies on Residency, Citizenship, Social Security Numbers, and Continuous Eligibility.
Approval Date: March 26, 2014
Effective Date: January 1, 2014

Iowa
Incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: March 26, 2014
Effective Date: October 1, 2013

New York
Describes State's Plan to Provide Coverage in Its Separate CHIP, for Children Subject to Section 2101(f) of the Affordable Care Act, As Specified In the State's Submission of CS:14 Children Ineligible for Medicaid as a Result of the Elimination of Income Disregards.
Approval Date: March 26, 2014
Effective Date: January 1, 2014