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
Colorado
Updates the federal poverty levels (FPLs) of the eligibility levels and premium bands to be consistent with Modified Adjusted Gross Income (MAGI).
Approval Date: June 11, 2015
Effective Date: June 1, 2003
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Topics:
No topics available
New York
This SPA implements the addition of benefits for the coverage of blood clotting factor, supplies, and other services necessary for infusions to treat blood clotting protein deficiencies. New York's CHIP SPA allows infusions to be provided in an outpatient or home setting by individuals with the appropriate training.
Approval Date: June 1, 2015
Effective Date: April 1, 2014
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Topics:
Benefits
Program Administration
Georgia
This SPA relates to Modified Adjusted Gross Income (MAGI) Eligibility and has an effective date of January 1, 2014.
Approval Date: May 20, 2015
Effective Date: January 1, 2014
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Topics:
Eligibility
Financing & Reimbursement
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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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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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