CHIP State Plan Amendments

Through this SPA, the state documents its 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.

This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.

This SPA provides Iowa with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.

Through this SPA, the state eliminates the CHIP waiting period, consistent with requirements of 42 CFR § 457.805(b).

Through these SPAs, the state amends its CHIP state plan to demonstrate that the state no longer disenrolls children from coverage due to non-payment of premiums during the continuous eligibility period and removes the state’s premium lock out period.

This letter reactivates Tennessee's approved Evergreen Disaster Relief State Plan Amendment.

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). Additionally, through this SPA, the state confirms the state will not disenroll children from coverage due to late premium payments during the CE period but will disenroll children from coverage if the premiums remain unpaid at the end of the CE period.

Through this SPA, the state confirms they no longer disenroll children from coverage due to non-payment of premiums during or at the end of a continuous eligibility period and removes its premium lock-out period.

Through this SPA, Missouri will accept CHIP eligibility determinations made by the Federally Facilitated Exchange (FFE), pursuant to section 2107(e)(1)(U) of the Social Security Act and 42 CFR 457.348, which requires states to have procedures in place for enrollment simplification and coordination with Exchanges and Medicaid.

Through this SPA, the state transitions their delivery system for dental benefits from the Healthy Smiles managed care program to the fee-for-service system administered by the Division of Medical Services.