CHIP State Amendment Plans
North Dakota
This SPA updates its service delivery contractors to Blue Cross and Blue Shield of North Dakota (BCBS) and Delta Dental of Minnesota (DDMN), and proposes additional pharmacy benefits, with corresponding new cost-sharing requirements. In addition, this SPA increases the dollar limitation amounts for hearing aids, eyeglass frames and lens, and medical equipment and supplies, and provides new benefit coverage for routine circumcision.
Approval Date: April 3, 2015
Effective Date: July 1, 2014
Links:
Topics:
Benefits
Financing & Reimbursement
Program Administration
Georgia
Reduces the number of premium bands in the state's CHIP program, PeachCare for Kids, from ten premium bands to six premium bands. The state also updates the federal poverty levels (FPLs) of the premium bands to be consistent with Modified Adjusted Gross Income (MAGI) eligibility levels and adjusts the premium amounts for inflation. This SPA also deletes obsolete information in the CHIP state plan and removes the cap on psychotherapy, which was previously limited to ten hours per month.
Approval Date: March 31, 2015
Effective Date: January 1, 2014
Links:
Topics:
Program Administration
Washington
To clarify the state's non financial eligibility policies on residency, citizenship, social security numbers, substitution of coverage, non-payment of premiums, and continuous eligibility.
Approval Date: March 18, 2015
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Financing & Reimbursement
Massachusetts
Expands the benefit package offered to unborn children in the separate CHIP from the state's section 1115 Basic Benefit Level to the MassHealth Standard benefit.
Approval Date: March 11, 2015
Effective Date: January 1, 2014
Links:
Topics:
Benefits
Connecticut
This SPA is related to Modified Adjusted Gross Income Eligibility.
Approval Date: February 24, 2015
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Financing & Reimbursement
Program Administration
Pennsylvania
Implements the required change to increase the maximum FPL limit or Medicaid for children age 6 18 from 100% FPL to 133% FPL.
Approval Date: February 13, 2015
Effective Date: January 1, 2014
Links:
Topics:
Financing & Reimbursement
Kansas
Updating the income levels for determining its premium charge categories in the state's separate CHIP.
Approval Date: February 11, 2015
Effective Date: July 1, 2014
Links:
Topics:
Financing & Reimbursement
New York
Clarifies 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: February 3, 2015
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Pennsylvania
This SPA relates to Modified Adjusted Gross Income (MAGI) Eligibility.
Approval Date: January 29, 2015
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Oklahoma
Provides assurance that the state will apply methodologies based on MAGI for all separate CHIP covered groups, using the approved MAGI conversion plan income thersholds.
Approval Date: January 29, 2015
Effective Date: January 1, 2014
Links:
Topics:
Benefits
Financing & Reimbursement
Program Administration