Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.
CHIP State Amendment Plans
Colorado
This SPA provides Colorado with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
Approval Date: March 14, 2023
Effective Date: July 1, 2022
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Benefits
Indiana
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.
Approval Date: March 6, 2023
Effective Date: March 11, 2021
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Benefits
Delaware
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.
Approval Date: February 13, 2023
Effective Date: July 1, 2023
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Benefits
Alabama
This SPA provides Alabama with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
Approval Date: January 13, 2023
Effective Date: October 1, 2022
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Benefits
North Carolina
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.
Approval Date: January 13, 2023
Effective Date: March 11, 2021
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Benefits
Louisiana
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.
Approval Date: January 10, 2023
Effective Date: October 1, 2023
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Benefits
Nevada
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.
Approval Date: December 28, 2022
Effective Date: February 1, 2023
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Eligibility
California
Through this SPAs, California reduces the amount for premiums and
subscriber contributions to $0 and updates the CS21.
subscriber contributions to $0 and updates the CS21.
Approval Date: December 27, 2022
Effective Date: July 1, 2022
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Cost Sharing
Virginia
This SPA permanently removes copayments for all health care services for CHIP enrollees.
Approval Date: December 23, 2022
Effective Date: July 1, 2022
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Cost Sharing
Montana
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.
Approval Date: December 23, 2022
Effective Date: October 24, 2019
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Benefits