CHIP State Amendment Plans

This letter reactivates Tennessee's approved Evergreen Disaster Relief State Plan Amendment.

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.

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.

Through this SPA, Missouri will accept CHIP eligibility determinations made by the Federally Facilitated Exchange (FFE), pursuant to section 2107(e)(1)(U) of the Social Security Act and 42 CFR 457.348, which requires states to have procedures in place for enrollment simplification and coordination with Exchanges and Medicaid.

This amendment implements a health services initiative (HSI) to support the Oklahoma Child and Adolescent Psychiatry Access Program (OKCAPMAP).

Through this SPA, the state transitions their delivery system for dental benefits from the Healthy Smiles managed care program to the fee-for-service system administered by the Division of Medical Services.

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 this SPA, the state adds coverage in CHIP for home and community-based services that are identical to those provided under section 1915(i) of the Social Security Act (the Act) and home and community-based attendant services and supports under section 1915(k) of the Act, in the Medicaid state plan.

This SPA demonstrates compliance with CHIP mental health parity regulations.

Through this SPA, the state makes several technical updates and updates their strategic objectives and performance goals.