CHIP State Amendment Plans

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. 

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.

This SPA reduces copayments for brand name insulin from $35 to $25 for all CHIP members with family income above 151 percent of the federal poverty level (FPL) up to and including 201 percent of the FPL.

This SPA changes the North Carolina Health Choice for Children
Program (NCHC) service delivery system from a primary care case management delivery system to a managed care delivery system.

Through this SPA, the state waives premium payments for applicants and beneficiaries who reside or work in a state or federally-declared disaster area and are unable to make premium payments.

This SPA permanently removes copayments for all health care services for CHIP enrollees.