CHIP State Amendment Plans

Through this SPA, Alabama seeks to implement the Reach Out and Read health services initiative (HSI) program, which promotes social and emotional development through promoting early literacy, early learning, and school readiness as a part of routine pediatric primary care.

Through this SPA, Alabama seeks to implement an Infant and Early Childhood Mental Health Services (IECMH) health services initiative (HSI) program, for the purpose of increasing workforce capacity for IECMH. The Alabama Department of Mental Health will establish the evidence-based Project ECHO Model® learning framework to train a variety of professionals (childcare workers, head start staff, mental health clinicians, etc.) statewide working directly with children ages birth to five and their families.

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

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 aligns its services provided to children under the CHIP state plan with services provided to children under the Medicaid state plan, such that coverage of all benefits provided to children under the CHIP state plan are the same as coverage provided under the Medicaid State plan, including Early Periodic Screening Diagnosis and Treatment (EPSDT) services.

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

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 has demonstrated compliance with the Inflation Reduction Act (IRA) section 11405(b)(1) to cover adult vaccines, without cost sharing. Additionally, this SPA documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.

This SPA removes all state-specific exceptions to the continuous eligibility period for children to be consistent with CHIP regulations 42 CFR 457.342. This regulation only permits certain federal exceptions to the continuous eligibility period.

Through this SPAs, California reduces the amount for premiums and
subscriber contributions to $0 and updates the CS21.