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
Arizona
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 1, 2024
Effective Date: January 1, 2024
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Topics:
Eligibility
Wisconsin
Through this SPA, the amends its previously approved CS15 SPA to account for reasonably predictable increases and decreases in income for individuals with income that is likely to fluctuate.
Approval Date: August 1, 2024
Effective Date: January 1, 2024
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Topics:
Eligibility
Minnesota
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 1, 2024
Effective Date: January 1, 2024
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Topics:
Eligibility
Nevada
Through this SPA, the state 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.
Approval Date: July 31, 2024
Effective Date: October 1, 2023
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Topics:
Benefits
West Virginia
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.
Approval Date: July 31, 2024
Effective Date: October 1, 2024
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Topics:
Benefits
Hawaii
Through this SPA, the state updates the employer-sponsored insurance (ESI) deduction methodology for the state’s CHIP health services initiative (HSI) that provides targeted, school-based vision screenings, services and eyeglasses. This SPA applies an updated proxy methodology to all HSI claims developed using real-time third-party eligibility data to account for children who have employer-sponsored coverage.
Approval Date: July 31, 2024
Effective Date: July 1, 2023
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Topics:
Benefits
Health Services Initiatives
Pennsylvania
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.
Approval Date: July 30, 2024
Effective Date: October 1, 2023
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Topics:
Benefits
Oklahoma
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.
Approval Date: July 26, 2024
Effective Date: October 1, 2023
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Topics:
Benefits
Nebraska
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.
Approval Date: July 23, 2024
Effective Date: October 1, 2023
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Topics:
Benefits
Alabama
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: July 23, 2024
Effective Date: January 1, 2024
Links:
Topics:
Eligibility