CHIP State Amendment Plans

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

Through this SPA, the state is rescinding previously approved SPAs IA-24-0014 and IA-24-0016. These SPAs are reinstated with a new effective date through SPA IA-25-0021.

Through this SPA, the state reinstates previously rescinded SPAs IA-24-0014 and IA-24-0016 with a new effective date of April 1, 2025. Through this SPA, the state provides 12 months of continuous postpartum coverage to individuals enrolled in its separate CHIP and modifies the income levels for both the separate CHIP and title XXI funded Medicaid expansion program for children from ages 0 to 1.

This SPA aligns the strategic objectives and goals in section 9 of the state plan with those reported in the state's CHIP Annual Report.

Through this SPA, the state documents its compliance with the longstanding requirement to cover children's vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.

Through this SPA, the state eliminates the CHIP waiting period, consistent with requirements of 42 CFR § 457.805(b).

Through these SPAs, the state amends its CHIP state plan to demonstrate that the state no longer disenrolls children from coverage due to non-payment of premiums during the continuous eligibility period and removes the state’s premium lock out period.

This letter reactivates Tennessee's approved Evergreen Disaster Relief State Plan Amendment.

Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023). Additionally, through this SPA, the state confirms the state will not disenroll children from coverage due to late premium payments during the CE period but will disenroll children from coverage if the premiums remain unpaid at the end of the CE period.