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CHIP State Amendment Plans

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Displaying 1 - 10 of 969

Utah

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.

Approval Date: September 12, 2025
Effective Date: July 1, 2024

Virginia

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.

Approval Date: September 12, 2025
Effective Date: July 1, 2024

Arizona

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

Approval Date: September 4, 2025
Effective Date: August 6, 2024

Colorado

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.

Approval Date: September 4, 2025
Effective Date: January 1, 2025

South Dakota

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.

Approval Date: September 4, 2025
Effective Date: January 1, 2025

Indiana

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

Approval Date: September 3, 2025
Effective Date: April 1, 2025

Kansas

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

Approval Date: September 3, 2025
Effective Date: June 1, 2025

Washington

Through these SPAs, the state increases the income level from 193 to 210 percent of the federal poverty level (FPL) for the from-conception-to-end-of-pregnancy (FCEP) population. Additionally, the state makes technical updates to its paper state plan.

Approval Date: August 18, 2025
Effective Date: November 1, 2024

Arkansas

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).

Approval Date: August 12, 2025
Effective Date: January 1, 2024

Alabama

Through these SPAs, the state removes the state’s premium lock out period and makes corresponding technical edits to 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 no longer implements a premium lock out period.

Approval Date: August 6, 2025
Effective Date: June 3, 2025