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
North Dakota
Through this SPA, the state increases the upper income standards for the state’s title XXI funded Medicaid expansion from 170 to 200 percent of the federal poverty level. SPA ND-24-0101 is a companion to the Medicaid eligibility expansion SPA, ND-24-0007.
Approval Date: June 4, 2024
Effective Date: January 1, 2024
Links:
Topics:
Eligibility
Nebraska
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).
Approval Date: May 30, 2024
Effective Date: January 1, 2024
Links:
Topics:
Eligibility
Montana
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: May 22, 2024
Effective Date: October 1, 2023
Links:
Topics:
Benefits
South Dakota
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).
Approval Date: May 15, 2024
Effective Date: January 1, 2024
Links:
Topics:
Eligibility
Enrollment
Rhode Island
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: May 14, 2024
Effective Date: October 1, 2023
Links:
Topics:
Benefits
Michigan
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: May 14, 2024
Effective Date: October 1, 2023
Links:
Topics:
Benefits
Missouri
This SPA updates the CHIP state plan to remove the state’s premium assistance program as of January 1, 2023. The state also makes non-substantive updates to its CHIP state plan to more clearly reflect existing policies. The updates are effective September 1, 2023.
Approval Date: May 14, 2024
Effective Date: September 1, 2023
Links:
Topics:
Cost Sharing
Current State Plan
Utah
Through this SPA, Utah updates its CHIP reimbursement methodologies for Federally Qualified Health Centers and Rural Health Clinics and clarifies the Prospective Payment System and Alternative Payment Methodologies used by the state. Also, the state also updates reimbursement methodologies for Indian Health Services and 638 Tribal Health Facilities.
Approval Date: May 13, 2024
Effective Date: July 1, 2022
Links:
Topics:
Financing & Reimbursement
Indiana
Through this SPA, the state adds mobile crisis services to the state's behavioral health benefits.
Approval Date: May 13, 2024
Effective Date: February 28, 2024
Links:
Topics:
Benefits
Arizona
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: May 13, 2024
Effective Date: October 1, 2023
Links:
Topics:
Benefits