CHIP State Amendment Plans

Through SPA MD-23-0001-LEAD, the state updates its two existing CHIP Health Services Initiative (HSI) programs; Healthy Homes for Healthy Kids and Childhood Lead Positioning & Asthma Prevention and Environmental Case Management.

This letter reactivates West Virginia's approved Evergreen Disaster Relief State Plan Amendment to include the following flexibilities: waiving the collection of premiums (through 3/1/24) and waiving copayments for services related to COVID-19 (through 9/30/24).

This letter reactivates Pennsylvania's approved Evergreen Disaster Relief State Plan Amendment to include the following flexibilities: waiving the collection of premiums for all CHIP beneficiaries through July 31, 2023. The state will resume the standard premium and cost sharing policies for individuals who have completed a full renewal in the last 12 months. The state will resume the collection of premiums on a rolling basis as renewals are conducted through the state’s COVID-19 PHE unwinding period, scheduled to end February 29, 2024.

This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.

Through this SPA, the state updates the presumptive eligibility (PE) for children template (known as the CS28).

Through this SPA, the state transitions all children from the state’s separate CHIP to a Medicaid expansion CHIP effective July 1, 2022

Through previously approved SPA MT-22-0025, Montana waived cost-sharing for all CHIP services during the COVID-19 public health emergency. Through this SPA, the state continues to waive cost sharing for COVID-19 services through September 30, 2024, but reinstates copayments for all other CHIP benefits to pre-COVID levels. Additionally, this SPA removes the state’s PA requirement for occupational, physical, and speech therapy services

This SPA demonstrates compliance with requirements in the American Rescue Plan Act of 2021 (ARP) that 1) mandate coverage of COVID-19 testing, treatment, and vaccines and their administration without cost-sharing or amount, duration, or scope limitations; and 2) require states to cover, without cost sharing, the treatment of conditions that may seriously complicate COVID- 19 treatment, during the period when a beneficiary is diagnosed with or is presumed to have COVID-19.

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

This letter reactivates Georgia's approved Evergreen Disaster Relief State Plan Amendment to include the following flexibilities: delay applications/renewals and other changes in circumstances and waive premiums and copayments for our CHIP enrollees.