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
California
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). In California, this provision applies to the targeted low-income children and from-conception-to-end-of-pregnancy (FCEP) populations.
Approval Date: July 10, 2024
Effective Date: January 1, 2024
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Eligibility
Tennessee
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). In Tennessee, this provision applies to the targeted low-income children and the from-conception-to-end-of-pregnancy (FCEP) populations.
Approval Date: June 24, 2024
Effective Date: January 1, 2024
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Eligibility
Maryland
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: June 20, 2024
Effective Date: October 1, 2023
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Benefits
Indiana
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: June 13, 2024
Effective Date: October 1, 2023
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Benefits
Washington
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: June 13, 2024
Effective Date: October 1, 2023
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Benefits
New Jersey
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: June 13, 2024
Effective Date: October 1, 2023
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Benefits
Arkansas
This SPA updates the cost sharing and reimbursement for continuous glucose monitors (CGMs) and diabetic supplies and removes annual dollar limits for these services. Additionally, the SPA aligns cost sharing for CGMs and diabetic supplies provided by pharmacies and DME providers to be the same $5 copay, regardless of the provider type furnishing the services.
Approval Date: June 12, 2024
Effective Date: April 1, 2024
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Benefits
Utah
Through this SPA, the state updates the CHIP dental benchmark plan and benefits.
Approval Date: June 10, 2024
Effective Date: July 1, 2023
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Benefits
New York
Through this SPA, the state adds residential treatment services to the state’s behavioral health benefits.
Approval Date: June 10, 2024
Effective Date: April 1, 2023
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Benefits
Kansas
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. Additionally, the state makes technical updates to the CHIP state plan.
Approval Date: June 10, 2024
Effective Date: October 1, 2023
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Benefits