CHIP State Amendment Plans
Florida
The state updates the federal poverty levels (FPLs) of the eligibility levels and premium bands to be consistent with Modified Adjusted Gross Income (MAGI). This SPA also clarifies that Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) are paid according to the Medicaid Prospective Payment System.
Approval Date: May 19, 2015
Effective Date: July 1, 2014
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Topics:
Financing & Reimbursement
Program Administration
Nevada
Incorporates the Modified Adjusted Gross Income (MAGI)-Based Eligibility Process Requirements in Accordance with the Affordable Care Act and Implementing Regulations.
Approval Date: May 7, 2015
Effective Date: October 1, 2013
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Topics:
Eligibility
Pennsylvania
Through this SPA, Pennsylvania updates its CHIP family premium cost sharing amounts to be consistent with the state's approved Modified Adjusted Gross Income (MAGI) conversion plan. Effective July 1, 2014, CHIP families are now required to pay monthly premiums according to the federal poverty level (FPL).
Approval Date: May 6, 2015
Effective Date: July 1, 2014
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Topics:
Financing & Reimbursement
Rhode Island
This SPA eliminates premium charges in the separate CHIP state plan.
Approval Date: April 22, 2015
Effective Date: July 1, 2014
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Topics:
Financing & Reimbursement
Program Administration
Mississippi
Through this SPA, Mississippi transitions administration of the separate CHIP benefit package from one to two Coordinated Care Organizations (CCOs) and raises the annual limit on dental benefits from $1,500 to $2,000.
Approval Date: April 17, 2015
Effective Date: January 1, 2015
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Topics:
Program Administration
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
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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
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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