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
Colorado
Through this SPA, Colorado amends its previously approved Modified Adjusted Gross Income (MAGI) Methodology template. Colorado began using a methodology to \u00E5nnualize income types that frequently fluctuate, such as seasonal earned income, on January 1,2016.
Approval Date: October 5, 2017
Effective Date: July 1, 2017
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Topics:
Financing & Reimbursement
Program Administration
Indiana
This SPA permits Indiana to implement a health services initiative (HSI) to provide lead abatement services in the homes of low-income children and pregnant women.
Approval Date: September 29, 2017
Effective Date: July 1, 2016
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Topics:
Benefits
Health Services Initiatives
Georgia
Through this SPA, Georgia updates Section 12.2 of the CHIP state plan to describe the review process for health services matters and the State Fair Hearing process.
Approval Date: September 14, 2017
Effective Date: July 1, 2017
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Topics:
Program Administration
Michigan
This SPA makes operational changes related to the administration of Michigan's current health services initiative (HSI) that provides lead abatement services in the homes of low-income children and pregnant women.
Approval Date: September 14, 2017
Effective Date: January 1, 2017
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Topics:
Health Services Initiatives
Program Administration
Montana
This SPA makes the Comprehensive Primary Care Plus (CPC+) Program model accessible on a voluntary basis to children in Montana's separate CHIP, Healthy Montana Kids.
Approval Date: September 14, 2017
Effective Date: April 1, 2017
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Topics:
Benefits
Colorado
This SPA amends Colorado's eligibility application materials in response to stakeholder input recommending changes to improve readability of materials, streamline application questions to pertain only to eligibility determinations, and ensure that members of a federally recognized tribes have the opportunity to obtain all the benefits to which they are entitled.
Approval Date: September 6, 2017
Effective Date: January 1, 2016
Links:
Topics:
Eligibility
Program Administration
Texas
This SPA provides temporary adjustments to the state's enrollment and redetermination policies, and cost-sharing requirements for children in families impacted by disaster events.
Approval Date: August 31, 2017
Effective Date: August 2, 2017
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Topics:
Benefits
Kentucky
Through this SPA, Kentucky amends the provisions goveming the Federally Facilitated Marke\u00FElace (FFM) eligibility determinations.
Approval Date: August 31, 2017
Effective Date: July 1, 2017
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Topics:
Program Administration
Nebraska
This SPA modifies the CHIP delivery system from fee-for service to managed care.
Approval Date: August 31, 2017
Effective Date: January 1, 2017
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Topics:
Financing & Reimbursement
Managed Care
Program Administration
US Virgin Islands
This SPA provides title XXI funds for Medicaid expansion children up to age 19 in families with incomes above 73 percent of the federal poverty level (FPL) and up to and including 130 percent of the FPL.
Approval Date: August 4, 2017
Effective Date: April 1, 2017
Links:
Topics:
Financing & Reimbursement