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
Missouri
This SPA relates to Modified Adjusted Gross Income Eligibility.
Approval Date: November 13, 2015
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Financing & Reimbursement
Program Administration
Missouri
This SPA relates to Modified Adjusted Gross Income Eligibility.
Approval Date: November 13, 2015
Effective Date: January 1, 2014
Links:
Topics:
Eligibility
Financing & Reimbursement
Program Administration
Louisiana
To amend the provisions governing Federally Facilitated Marketplace (FFM) eligibility determinations. Through this SPA, Louisiana will only accept assessments of CHIP eligibility from the FFM rather than accept CHIP eligibility determinations made by the FFM.
Approval Date: November 6, 2015
Effective Date: November 1, 2015
Links:
Topics:
Eligibility
Program Administration
Maine
This CHIP SPA converts the current premium income bands to modified adjusted gross income (MAGI) equivalent levels as required by the Affordable Care Act. This SPA also updates the CHIP state plan to reflect previously approved MAGI eligibility SPAs.
Approval Date: October 20, 2015
Effective Date: July 1, 2014
Links:
Topics:
Program Administration
Texas
Provides assurance that the state will apply methodologies based on MAGI for all separate CHIP covered groups, using the approved MAGI conversion plan income thresholds.
Approval Date: September 25, 2015
Effective Date: January 1, 2014
Links:
Topics:
Financing & Reimbursement
Program Administration
Idaho
This SPA makes technical updates to its CHIP State Plan.
Approval Date: September 9, 2015
Effective Date: July 1, 2014
Links:
Topics:
Program Administration
Illinois
The approval of SPA IL-14-0008 includes full approval of the state's paper application. The state is using an interim alternative single streamlined online application. By December 31, 2015, the state will implement a revised alternative single streamlined online application that addresses CMS concerns outlined in the companion letter issued with this SPA approval.
Approval Date: September 8, 2015
Effective Date: October 1, 2013
Links:
Topics:
Program Administration
Connecticut
This SPA permits Connecticut to make changes to co-payment amounts, Increases in co-insurance and A change in the calculation methodology to determine the maximum cost-sharing amounts.
Approval Date: August 21, 2015
Effective Date: March 1, 2011
Links:
Topics:
Cost Sharing
Financing & Reimbursement
Program Administration
Iowa
This SPA converts the current premium income bands to modified adjusted gross income levels (MAGI) as required by the Affordable Care Act. This CHIP SPA also updates the CHIP State plan to reflect previously approved MAGI eligibility SPAs.
Approval Date: August 20, 2015
Effective Date: July 1, 2014
Links:
Topics:
Benefits
Program Administration
Indiana
This SPA relates to Modified Adjusted Gross Income (MAGI) Eligibility, and it has an effective date of January 1, 2014.
Approval Date: August 5, 2015
Effective Date: January 1, 2014
Links:
Topics:
Financing & Reimbursement