CHIP State Amendment Plans

Through this SPA, South Dakota adds coverage for pregnancy-related doula services, community health worker services, and peer support services to its CHIP state plan to align these services with Medicaid.

Through this SPA, the state eliminates the CHIP waiting period, consistent with requirements of 42 CFR § 457.805(b).

Through these SPAs, the removes the CHIP waiting period and describes the
substitution of coverage monitoring strategy.

Through these SPAs, the state increases the income level from 193 to 210 percent of the federal poverty level (FPL) for the from-conception-to-end-of-pregnancy (FCEP) population. Additionally, the state makes technical updates to its paper state plan.

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).

Through these SPAs, the state removes the state’s premium lock out period and makes corresponding technical edits to 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 no longer implements a premium lock out period.

Through this SPA, the state expands coverage under its existing Home and Community Based Services (HCBS) coverage category specifically for services related to children and youth with a physical health, developmental disability, and/or mental health diagnosis that are at risk of institutionalization.

Through this SPA, the state amends its existing targeted case management (TCM) services in CHIP to make them available to eligible juveniles up to 19 years of age who are inmates of a public institution.

This SPA provides the state with the authority to make the following temporary policy adjustments for its CHIP program during any future Governor or federally-declared emergency upon notification to CMS.

Through these SPAs, the state removes the state’s premium lock out period and makes corresponding technical edits to 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 no longer implements a premium lock out period.