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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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Displaying 151 - 160 of 949

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Transmittal Number: KY-22-0003-CHIP
Kentucky
Through this SPA, the state transitions all children from the state’s separate CHIP to a Medicaid expansion CHIP effective July 1, 2022
Approval Date:
Effective Date:
Links:
Topics:
  • Delivery System
  • Eligibility
  • MCHIP Program
Transmittal Number: MT-23-0027-0000
Montana
Through previously approved SPA MT-22-0025, Montana waived cost-sharing for all CHIP services during the COVID-19 public health emergency. Through this SPA, the state continues to waive cost sharing for COVID-19 services through September 30, 2024, but reinstates copayments for all other CHIP benefits to pre-COVID levels. Additionally, this SPA removes the state’s PA requirement for occupational, physical, and speech therapy services
Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
Transmittal Number: KS-21-0014
Kansas
Through this SPA, the state updates the presumptive eligibility (PE) for children template (known as the CS28).
Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: MA-CSPA-6
Massachusetts
CHIPRA Section 214 - Lawfully Residing Expansion CHIPRA Section 501 - Oral Health and Robert Wood Johnson Foundation (RWJF) grant funding added to State Plan.
Approval Date:
Effective Date:
Links:
Topics:
  • Dental
Transmittal Number: OR-CSPA-13
Oregon
Express Lane Eligibility SPA #13 - SNAP and NSLP.
Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: CA-CSPA-17
California
Increase cost sharing and limit dental plan choices for enrollees in certain counties.
Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
Transmittal Number: MD-23-0001-LEAD
Maryland

Through SPA MD-23-0001-LEAD, the state updates its two existing CHIP Health Services Initiative (HSI) programs; Healthy Homes for Healthy Kids and Childhood Lead Positioning & Asthma Prevention and Environmental Case Management.

Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
  • Health Services Initiatives
Transmittal Number: OR-23-0136
Oregon
This amendment implements a health services initiative (HSI) to provide comprehensive coverage during the 12-month postpartum period for individuals whose pregnancy was covered under the conception-to-end-of-pregnancy group (also known as the “unborn” option)
Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
  • Health Services Initiatives
Transmittal Number: NY-23-0036
New York
This SPA provides New York with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.
Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
Transmittal Number: GA-23-0001-DRAL
Georgia
This letter reactivates Georgia's approved Evergreen Disaster Relief State Plan Amendment to include the following flexibilities: delay applications/renewals and other changes in circumstances and waive premiums and copayments for our CHIP enrollees.
Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
  • Disaster Relief