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
West Virginia
Through this SPA, West Virginia deactivates the Kids First Health Services Initiative (HSI) in the CHIP state plan, due to inactivity.
Approval Date: September 16, 2024
Effective Date: January 1, 2024
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Health Services Initiatives
Hawaii
This amendment implements a health services initiative (HSI) to improve the health of low-income children by increasing their access to needed hearing screenings and follow up services, such as exams and referrals for hearing devices, through a targeted, school-based initiative.
Approval Date: September 6, 2024
Effective Date: January 1, 2024
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Benefits
Health Services Initiatives
Delaware
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 removes all premiums from the CHIP state plan effective July 1, 2024.
Approval Date: September 5, 2024
Effective Date: January 1, 2024
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Eligibility
Tennessee
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.
Also, through this SPA the state adds coverage of lactation supports services and updates their strategic objectives and performance goals to align with those reported
in the state’s CHIP annual report.
Approval Date: September 5, 2024
Effective Date: July 1, 2023
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Program Administration
Virginia
Through this SPA, the state makes several benefit changes to their CHIP state plan.
Approval Date: September 5, 2024
Effective Date: July 1, 2023
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Benefits
Maine
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).
Approval Date: August 27, 2024
Effective Date: January 1, 2024
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Eligibility
New York
Through SPA, the state makes technical updates to remove outdated references and clarify current practices in their CHIP state plan. Additionally, 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). Furthermore, the state confirms they no longer disenroll children from coverage due to late premium payments during or at the end of the CE period.
Approval Date: August 15, 2024
Effective Date: January 1, 2024
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Cost Sharing
Eligibility
Program Administration
Michigan
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).
Approval Date: August 13, 2024
Effective Date: January 1, 2024
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Eligibility
Maryland
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).
Approval Date: August 9, 2024
Effective Date: January 1, 2024
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Topics:
Eligibility
West Virginia
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).
Approval Date: August 7, 2024
Effective Date: January 1, 2024
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Topics:
Eligibility