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
Wisconsin
This SPA provides Wisconsin with approval to use title XXI funding for a health services initiative (HSI) to provide housing supports services for low-income families with children under 19 and pregnant individuals who are homeless or at risk of homelessness.
Approval Date: October 27, 2022
Effective Date: March 1, 2022
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Benefits
Health Services Initiatives
Georgia
This SPA provides Georgia with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its separate CHIP program.
Approval Date: October 26, 2022
Effective Date: November 1, 2022
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Benefits
Pennsylvania
This SPA provides Pennsylvania with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its separate CHIP program.
Approval Date: October 26, 2022
Effective Date: April 1, 2022
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Benefits
Connecticut
This SPA extends CHIP eligibility to children from conception to the end of pregnancy (otherwise known as “unborn”) whose parent is not otherwise eligible for Medicaid or CHIP with incomes up to and including 208 percent of the federal poverty level (FPL).
Approval Date: October 24, 2022
Effective Date: April 1, 2022
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Benefits
Pennsylvania
This SPA implements a health services initiative (HSI) program to improve the health of low-income children through a targeted, school-based initiative that provides vision screening services and glasses to children in need.
Approval Date: October 21, 2022
Effective Date: August 1, 2022
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Health Services Initiatives
Oregon
This SPA implements a health services initiative (HSI) program to support families through the Oregon Parenting Education Collaborative (OPEC).
Approval Date: October 18, 2022
Effective Date: December 1, 2021
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Health Services Initiatives
Kentucky
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: October 7, 2022
Effective Date: March 11, 2021
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Benefits
Nevada
This SPA approves Nevada's Evergreen Disaster Relief provisions to extend through the end of the public health emergency (PHE).
Approval Date: October 7, 2022
Effective Date: July 21, 2022
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Disaster Relief
New York
This SPA eliminates the nine-dollar family premium contribution for children in households with income under 222 percent of the federal poverty level (FPL).
Approval Date: October 3, 2022
Effective Date: October 1, 2022
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Benefits
South Dakota
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: September 30, 2022
Effective Date: March 11, 2021
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Benefits