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
Iowa
Through this SPA, the state is rescinding previously approved SPAs IA-24-0014 and IA-24-0016. These SPAs are reinstated with a new effective date through SPA IA-25-0021.
Approval Date: March 28, 2025
Effective Date: January 1, 2025
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Eligibility
Iowa
Through this SPA, the state reinstates previously rescinded SPAs IA-24-0014 and IA-24-0016 with a new effective date of April 1, 2025. Through this SPA, the state provides 12 months of continuous postpartum coverage to individuals enrolled in its separate CHIP and modifies the income levels for both the separate CHIP and title XXI funded Medicaid expansion program for children from ages 0 to 1.
Approval Date: March 28, 2025
Effective Date: April 1, 2025
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Eligibility
Montana
This SPA aligns the strategic objectives and goals in section 9 of the state plan with those reported in the state's CHIP Annual Report.
Approval Date: March 13, 2025
Effective Date: December 31, 2024
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Program Administration
Iowa
Through this SPA, the state documents its 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: March 3, 2025
Effective Date: October 1, 2024
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Benefits
Idaho
This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
Approval Date: January 17, 2025
Effective Date: January 1, 2025
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Benefits
Eligibility
Medicaid and CHIP Program (MACPro)
South Dakota
Through this SPA, the state eliminates the CHIP waiting period, consistent with requirements of 42 CFR § 457.805(b).
Approval Date: December 16, 2024
Effective Date: July 1, 2024
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Eligibility
Nevada
Through these SPAs, the state amends its CHIP state plan to demonstrate that the state no longer disenrolls children from coverage due to non-payment of premiums during the continuous eligibility period and removes the state’s premium lock out period.
Approval Date: December 16, 2024
Effective Date: January 1, 2024
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Cost Sharing
Tennessee
This letter reactivates Tennessee's approved Evergreen Disaster Relief State Plan Amendment.
Approval Date: December 13, 2024
Effective Date: September 27, 2024
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Disaster Relief
Indiana
Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023). Additionally, through this SPA, the state confirms the state will not disenroll children from coverage due to late premium payments during the CE period but will disenroll children from coverage if the premiums remain unpaid at the end of the CE period.
Approval Date: December 9, 2024
Effective Date: January 1, 2024
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Eligibility
Wisconsin
Through this SPA, the state confirms they no longer disenroll children from coverage due to non-payment of premiums during or at the end of a continuous eligibility period and removes its premium lock-out period.
Approval Date: November 26, 2024
Effective Date: July 1, 2024
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Eligibility