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
Texas
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.
Approval Date: December 23, 2022
Effective Date: January 1, 2023
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Topics:
Benefits
North Carolina
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.
Program (NCHC) service delivery system from a primary care case management delivery system to a managed care delivery system.
Approval Date: December 23, 2022
Effective Date: July 1, 2022
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Topics:
Managed Care
Pennsylvania
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.
Approval Date: December 23, 2022
Effective Date: March 1, 2020
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Topics:
Disaster Relief
Missouri
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: December 21, 2022
Effective Date: March 11, 2021
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Topics:
Benefits
Utah
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 6, 2022
Effective Date: July 1, 2020
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Topics:
Benefits
Texas
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: December 5, 2022
Effective Date: March 11, 2021
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Topics:
Benefits
Delaware
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: November 15, 2022
Effective Date: March 11, 2021
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Topics:
Benefits
Colorado
Through this SPA, Colorado eliminates its statewide managed care network that provided coverage to presumptively eligible beneficiaries prior to their CHIP eligibility determination and enrollment into a contracted managed care organization (MCO).
Approval Date: November 15, 2022
Effective Date: July 1, 2021
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Topics:
Managed Care
Hawaii
This SPA updates performance goals and strategic objectives to align with CHIP annual report.
Approval Date: November 7, 2022
Effective Date: June 1, 2022
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Topics:
Current State Plan
Tennessee
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: November 3, 2022
Effective Date: March 11, 2021
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Topics:
Benefits