CHIP State Amendment Plans

Through this SPA, the state expands coverage under its existing Home and Community Based Services (HCBS) coverage category specifically for services related to children and youth with a physical health, developmental disability, and/or mental health diagnosis that are at risk of institutionalization.

Through this SPA, the state amends its existing targeted case management (TCM) services in CHIP to make them available to eligible juveniles up to 19 years of age who are inmates of a public institution.

This SPA provides the state with the authority to make the following temporary policy adjustments for its CHIP program during any future Governor or federally-declared emergency upon notification to CMS.

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.

This SPA demonstrates compliance with the CHIP managed care regulations at 42 CFR 457, Subpart L for utilization of a managed care delivery system.

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).

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Through this SPA, the state reinstates previously rescinded SPAs IA-24-0014 and IA-24-0016 with a new effective date of April 1, 2025.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.