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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.

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Transmittal Number: UT-24-0014
Utah

Through this SPA, the state amends its CS21 state plan page to demonstrate that it no longer disenrolls children from coverage due to non-payment of premiums during, or at the end of the continuous eligibility period. In addition, the SPA eliminates the state’s premium lock-out period.

Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
  • Eligibility
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: WV
West Virginia
Current CHIP State Plan as amended by SPA 6 and Factsheet as of 12-27-2006.
Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • State Plan Factsheet
Transmittal Number: IA
Iowa
Current CHIP State Plan as amended by SPA 14 and Factsheet as of 10-02-2009.
Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • State Plan Factsheet
Transmittal Number: TX
Texas
Current CHIP State Plan and Factsheet.
Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • State Plan Factsheet
Transmittal Number: CT-CSPA-8
Connecticut
Proposing to increase cost sharing and implement presumptive eligibility.
Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
Transmittal Number: KS-CSPA-11
Kansas
Redesigned, statewide Managed Care Delivery System brings CHIP into compliance with the Hospice Concurrent Care Provision of the Affordable Care Act.
Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
  • Managed Care
Transmittal Number: IL-CSPA-10
Illinois
Initial
Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
Transmittal Number: VT-CSPA-11
Vermont
Benefit Changes and Hospice.
Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
Transmittal Number: CA
California
Current CHIP State Plan and Factsheet.
Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • State Plan Factsheet