U.S. flag

An official website of the United States government

CHIP State Plan Amendments

As part of a strategy to increase transparency, enhance efficiency, and reduce burden for states in the review and approval process of state plan amendments (SPA), CMS committed to providing a tool kit to assist states in the development of complete submissions, and facilitate quicker adjudication of SPA submissions. This page provides a collection of existing CHIP SPA templates for completing the templates that will be enhanced as more tools are developed.

States apply for changes to their CHIP state plan using the CHIP State Plan Template (DOCX, 206.04 KB).  Persons with disabilities having problems accessing the PDF files may call 410-786-0429 for assistance.

CHIP State Program Information

In order to be eligible for payment under this statute, each State must submit a Title XXI plan for approval by the Secretary that details how the State intends to use the funds and fulfill other requirements under the law and regulations at 42 CFR Part 457.

States can design their CHIP program in one of three ways:

1.    Separate CHIP: a program under which a state receives federal funding to provide child health assistance to uninsured, low-income children that meets the requirements of section 2103 of the Social Security Act.

2.    Medicaid expansion CHIP: a program under which a state receives federal funding to expand Medicaid eligibility to optional targeted low-income children that meets the requirements of section 2103 of the Social Security Act.

3.    Both Separate CHIP and Medicaid expansion: a program under which a state receives federal funding to implement both a Medicaid expansion and a separate CHIP.

CHIP Program by State (PDF, 350.84 KB) has more information about how each state has implemented its program.

To see CHIP information by state, select a state on the map to find details about enrollment and dental providers. Click here for the CHIP Annual Reports.

Advanced Search +

Results

Displaying 41 - 50 of 949

Expand/Collapse All

Transmittal Number: WI-21-0015
Wisconsin

This amendment implements a health services initiative (HSI) to provide to provide case management, in-home education, environmental assessment, durable equipment, and environmental hazard remediation in homes of low-income children with moderate to severe asthma. This SPA also eliminates all copayments in CHIP. 

 

Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
  • Cost Sharing
  • Health Services Initiatives
Transmittal Number: WI-20-0014
Wisconsin
This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
Transmittal Number: WI-20-0005
Wisconsin
The state provides temporary policy adjustments in response to the COVID-19 public health emergency.
Approval Date:
Effective Date:
Links:
Topics:
  • Disaster Relief
Transmittal Number: WI-19-0009
Wisconsin
This SPA demonstrates the state’s compliance with CHIP managed care rules
Approval Date:
Effective Date:
Links:
Topics:
  • Managed Care
Transmittal Number: WI-19-0004
Wisconsin

Implements a health services initiative (HSI) to provide lead abatement services in the homes of low-income children and pregnant women.

Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • Health Services Initiatives
Transmittal Number: WI-15-0010
Wisconsin

This SPA authorizes Wisconsin to use title XXI funds through the option at section 2105(a)(l)(D)(ii) of the Social Security Act to pay for an HSI. Using remaining funds available that do not exceed the 10 percent limit on expenditures that include administration of the program, the state may fund activities that protect public health, protect the health of individuals, improve or promote the state's capacity to deliver public health services, or strengthen the human or material resources necessary to accomplish public health goals related to children.

Approval Date:
Effective Date:
Links:
Topics:
  • Financing & Reimbursement
  • Health Services Initiatives
  • Program Administration
Transmittal Number: WI-15-0009
Wisconsin
Through this SPA, Wisconsin updates its CHIP family premium cost sharing amounts to reflect the conversion to the Modified Adjusted Gross Income equivalent standards. CHIP families are required to pay monthly premiums according to federal poverty levels (FPL).
Approval Date:
Effective Date:
Links:
Topics:
  • Financing & Reimbursement
Transmittal Number: WI-13-0032-MC5
Wisconsin
To clarify the state's non-financial eligibility policies on residency; citizenship; social security numbers; substitution of coverage; non-payment of premiums and other eligibility standards.
Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: WI-13-0031-MC4
Wisconsin
This SPA incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Wisconsin's CHIP State Plan, in accordance with the Affordable Care Act.
Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: WI-13-0030-MC3
Wisconsin
Converts the state's existing income eligibility standards to modified adjusted gross income (MAGI) equivalent standards, by age group, for children covered in its title XXI-funded Medicaid program.
Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility