CHIP State Amendment Plans

Through this SPA, the state removes outdated CHIP state plan language to ensure that the plan reflects the state’s approved program policies.

Through this SPA, the state removes its waiting period policy, as required by CMS regulations at 42 CFR § 457.805(b), and updates its existing substitution monitoring strategies.

Through this SPA, the state removes its waiting period policy, as required by CMS
regulations at 42 CFR § 457.805(b), and updates its existing substitution monitoring strategies.

Through this SPA, the state annual and lifetime dollar limits for dental and orthodontic services, changes hard monetary limits on vision services, and revises the state's strategic objectives and performance goals.

Through this SPA, the state demonstrates compliance with sections 5121 a 5122 of the Consolidated Appropriations Act, 2023 (CAA, 2023) by modifying CHIP eligibility requirements for the treatment of incarcerated youth and providing pre-release services to eligible juveniles.

Through these SPAs, Oregon transitions the majority of its separate CHIP to a Medicaid expansion program effective January 1, 2024. The only individuals remaining in the separate CHIP are those covered under the from-conception-to-end-of-pregnancy (FCEP) option.

Through this SPA, Mississippi removes all previously existing monetary annual and lifetime limits from the CHIP state plan in accordance with 42 CFR 457.480(a). In addition, the state provides assurance that no annual, lifetime, or other aggregate dollar limitations are imposed on any medical or dental services covered under the CHIP state plan.

Through this SPA, New Jersey demonstrates compliance with section 5121 of the Consolidated Appropriations Act, 2023 (CAA, 2023) by modifying CHIP eligibility requirements for the treatment of incarcerated youth and providing pre-release services to eligible juveniles.

Through this SPA, Alabama reactivates its Reach Out and Read Health Services Initiative (HSI) for an additional three years and modifies it to operate statewide. The state also removes its time-limited Infant and Early Childhood Mental Health Services HSI from the state plan as it expired on September 30, 2023.

Through SPA AZ-25-0007, effective August 23, 2024, the state removes the premium lock out period, in accordance with 42 CFR 457.570(c). Through SPA AZ-25-0009, effective July 1, 2025, the state provides the corresponding technical edits in the CHIP state plan to reflect the removal of the premium lock out period.