CHIP State Amendment Plans

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).

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.