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.
Results
Transmittal Number: NC-23-0008 and NC-23-0010
Through these SPAs, the state transitions all children from the state’s separate CHIP to a Medicaid expansion CHIP.
- Benefits
Transmittal Number: CO-20-0032
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.
- Benefits
Transmittal Number: OK-23-0023
Through this SPA, the state updates its existing CHIP Health Services Initiative (HSI), the Reach out and Read program, by adding an additional dental component to educate families about oral health and to train pediatric and primary care practices to provide fluoride varnishes.
- Health Services Initiatives
Transmittal Number: FL-23-0001-DRAL
This letter reactivates Florida's approved Evergreen Disaster Relief State Plan Amendment. The state will allow additional time for families to complete the renewal process, will allow additional time to make premium payments, and will provide proactive enrollment for new applicants to the start of the month when the application was approved and payment was received. These provisions are effective through April 30, 2024.
- Disaster Relief
Transmittal Number: MT-23-0028
This SPA provides Montana with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
- Benefits
- Medicaid and CHIP Program (MACPro)
Transmittal Number: CO-23-0039
Through this SPA, Colorado permanently removes enrollment fees for all CHIP beneficiaries.
- Cost Sharing
Transmittal Number: KY-23-0001-CHIP
Through this SPA, the state creates a Health Services Initiative (HSI) to support the Kentucky Poison Control Center of Norton Children's Hospital.
- Health Services Initiatives
Transmittal Number: MO-23-0021
This SPA provides Missouri with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
- Benefits
- Medicaid and CHIP Program (MACPro)
Transmittal Number: GA-23-0034 and GA-23-0035
Through this SPA, Georgia expands coverage to otherwise eligible lawfully residing, non-citizen targeted low income children under section 214 of CHIPRA.
- Eligibility
Transmittal Number: CO-23-0038
Through this SPA the state has the authority to make the temporary policy adjustments for its CHIP program during any future state or federally-declared emergency upon notification to CMS.
- Disaster Relief