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
Nevada
SPA NV-24-0008 demonstrates Nevada's compliance with the CAA, 2023 requirement to provide continuous eligibility for children. SPA NV-24-0009 provides Nevada with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
Approval Date: May 3, 2024
Effective Date: January 1, 2024
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Benefits
Medicaid and CHIP Program (MACPro)
New York
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: April 11, 2024
Effective Date: October 1, 2023
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Benefits
California
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: April 10, 2024
Effective Date: October 1, 2023
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Benefits
Texas
This SPA demonstrates compliance with the CHIP managed care regulations at 42 CFR 457, Subpart L for utilization of a managed care delivery system. Additionally, through this SPA the state is updating its process for conducting reviews of health services matters.
Approval Date: April 9, 2024
Effective Date: July 1, 2018
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Benefits
Alabama
Through these SPAs, the state expands CHIP eligibility from 36 counties to statewide for the from-conception-to-the-end-of-pregnancy (FCEP) coverage group and they expand its ALL Babies Postpartum Initiative Health Services Initiative (HSI) from 36 counties to statewide.
Approval Date: April 1, 2024
Effective Date: October 1, 2024
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Benefits
Eligibility
Health Services Initiatives
Alabama
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. Additionally, the state makes non-substantive technical updates through this SPA.
Approval Date: March 25, 2024
Effective Date: October 1, 2023
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Benefits
North Carolina
This amendment implements two, time-limited Health Service Initiatives (HSIs). The first is a statewide Breastfeeding Hotline and the second is a Substance Use Disorder and Parenting Intervention HSI. Additionally, through this SPA, the state extends the operation of its existing Reach Out and Read HSI through June 2024.
Approval Date: March 14, 2024
Effective Date: July 1, 2023
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Benefits
Health Services Initiatives
Georgia
This SPA aligns the strategic objectives and goals in section 9 of the state plan with those reported in the state’s CHIP Annual Report.
Approval Date: March 13, 2024
Effective Date: July 1, 2023
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Program Administration
Utah
This SPA provides Utah with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
Approval Date: March 8, 2024
Effective Date: January 1, 2024
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Benefits
Eligibility
Medicaid and CHIP Program (MACPro)
Georgia
Through this SPA, Georgia updates its process for health services matters reviews to be consistent with the state's managed care appeals process and for the state’s CHIP review process to demonstrate compliance with requirements at 42 CFR §§ 457.1120 – 457.1180.
Approval Date: February 28, 2024
Effective Date: July 1, 2023
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Topics:
Managed Care