CHIP State Amendment Plans

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 New York's Child Health Plus Evergreen Disaster Relief State Plan Amendment, and is scheduled to end on May 31, 2024.

This SPA extends the state’s authority to implement certain cost sharing flexibilities after the end of the federally declared PHE through the unwinding period.

These SPAs allow Maine to transition its separate CHIP program, CubCare, to a Medicaid expansion program effective March 1, 2023, with the exception of the from-conception-to-end of-pregnancy population (otherwise known as the “unborn option”).

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.

Through this SPA, the state updates the CHIP out of pocket maximum member notification process. The state will use a new Provider Reimbursement Information System (PRISM) process that will track, calculate and inform members of when the 5 percent out of pocket maximum cost has been met.

Through this SPA, Alabama expands its ALL Babies coverage to an additional 33 counties (for a total of 36 counties). ALL Babies provides CHIP eligibility for children from conception to the end of pregnancy (also known as the “unborn” option) with family incomes up to and including 312 percent of the federal poverty level (FPL) whose pregnant parents are not otherwise eligible for Medicaid or CHIP.

This SPA provides Rhode Island with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.

This SPA provides Arizona with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.

Through this SPA, Alabama phases out its Care Coordination health services initiative (HSI). The state will provide written notice of discontinuation of services to current Care Coordination HSI participants in compliance with 42 CFR 457.65(b).