CHIP State Amendment Plans
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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Topics:
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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Topics:
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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Topics:
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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Topics:
Benefits
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
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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Topics:
Cost Sharing
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