CHIP State Amendment Plans
North Carolina
North Carolina updates the federal poverty levels (FPL) of the eligibility and enrollment fee bands to be consistent with the Modified Adjusted Gross Income (MAGI) eligibility levels:.
Approval Date: August 23, 2016
Effective Date: October 1, 2015
Links:
Topics:
Financing & Reimbursement
Virginia
Under this SPA, Virginia adds behavioral therapy services, including applied behavioral analysis, to its CHIP benefit package, with an effective date of September 1, 2016.
Approval Date: August 18, 2016
Effective Date: September 1, 2016
Links:
Topics:
Benefits
Idaho
This SPA modifies the state's delivery system by creating a new tier-based primary care case management fee structure for providers based on the complexity of the patient's health care needs and capabilities of the provider's ability to meet those needs.
Approval Date: August 11, 2016
Effective Date: February 1, 2016
Links:
Topics:
Financing & Reimbursement
Program Administration
Illinois
To clarify the state's non-financial eligibility policies on residency; citizenship; social security numbers; substitution of coverage; non-payment of premiums; continuous eligibility and presumptive eligibility.
Approval Date: August 10, 2016
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Arizona
Lifts the state's existing enrollment freeze enabling children ages birth through age 19 with income above 133 percent up to and including 200 percent of the federal poverty level (FPL) to enroll in the state's CHIP, known as "KidsCare.".
Approval Date: July 22, 2016
Effective Date: July 26, 2016
Links:
Topics:
Benefits
Eligibility
Program Administration
Arizona
Lifts the state's existing enrollment freeze enabling children ages birth through age 19 with income above 133 percent up to and including 200 percent of the federal poverty level (FPL) to enroll in the state's CHIP, known as "KidsCare. ".
Approval Date: July 22, 2016
Effective Date: July 26, 2016
Links:
Topics:
Program Administration
Wisconsin
Through this SPA, Wisconsin updates its CHIP family premium cost sharing amounts to reflect the conversion to the Modified Adjusted Gross Income equivalent standards. CHIP families are required to pay monthly premiums according to federal poverty levels (FPL).
Approval Date: July 21, 2016
Effective Date: July 1, 2014
Links:
Topics:
Financing & Reimbursement
Iowa
This SPA updates the state plan to reflect changes related to the managed care delivery system and other conforming changes, such as updates regarding strategic objectives and performance goals, the quality and appropriateness of care, and appeals and grievances procedures.
Approval Date: July 8, 2016
Effective Date: April 1, 2016
Links:
Topics:
Managed Care
Program Administration
Louisiana
The SPA amends the provisions governing the Federally Facilitated Marketplace (FFM) eligibility determinations. Through this SPA, Louisiana will accept CHIP eligibility determinations made by the FFM.
Approval Date: July 7, 2016
Effective Date: July 1, 2016
Links:
Topics:
Eligibility
Prescription Drugs
Wisconsin
This SPA authorizes Wisconsin to use title XXI funds through the option at section 2105(a)(l)(D)(ii) of the Social Security Act to pay for an HSI. Using remaining funds available that do not exceed the 10 percent limit on expenditures that include administration of the program, the state may fund activities that protect public health, protect the health of individuals, improve or promote the state's capacity to deliver public health services, or strengthen the human or material resources necessary to accomplish public health goals related to children.
Approval Date: June 24, 2016
Effective Date: July 1, 2015
Links:
Topics:
Financing & Reimbursement
Health Services Initiatives
Program Administration