CHIP State Amendment Plans

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.

Through this SPA, the state revises the strategic objectives and performance goals in section 9 of the CHIP state plan with the state’s CHIP Annual Report and also removes outdated strategic objectives and performance goals from the state plan that the state no longer includes in the CHIP Annual Report.

Through this amendment, the state makes a number of technical updates to the state's previously approved Poison Control Health Services Initiative, as well as update the program's budget.

Through these SPAs, the state permanently eliminates premiums and adds a new managed care vendor. The state updates their CS21 to reflect the removal of CHIP premiums.

Through these SPAs, Arizona removes the state's waiting period in CHIP and describes the state's substitution of coverage monitoring strategy.

Through this SPA, the state amends it's existing Continuing Care Services benefit requires that a demonstrate that a CHP+ member receives continued care with the member’s same health care provider or health care facility under the member’s new MCO plan as if the provider or facility are in network, for up to ninety days.

Through this SPA, South Dakota adds coverage for pregnancy-related doula services, community health worker services, and peer support services to its CHIP state plan to align these services with Medicaid.

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

Through these SPAs, the removes the CHIP waiting period and describes the
substitution of coverage monitoring strategy.