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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 821 - 830 of 949

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Transmittal Number: MO-CSPA-8
Missouri

Proposing to implement a Health Service Initiative for multiple State programs.

Approval Date:
Effective Date:
Links:
Topics:
  • Health Services Initiatives
Transmittal Number: AL-CSPA-12
Alabama
This SPA increases premiums based on inflation and increases copayments.
Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
Transmittal Number: VA-CSPA-11
Virginia
Administrative changes to VA CHIP.
Approval Date:
Effective Date:
Links:
Topics:
  • Program Administration
Transmittal Number: WI
Wisconsin
Current CHIP State Plan as amended by SPA 7.
Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • State Plan Factsheet
Transmittal Number: OR-CSPA-14
Oregon
SPA Expand Unborn Coverage to Lane County.
Approval Date:
Effective Date:
Links:
Topics:
  • Expansion
Transmittal Number: NY-CSPA-17
New York
Implementation of programmatic updates also implements an initiative to incentivize the development of patient-centered medical homes for the State's CHIP program.
Approval Date:
Effective Date:
Links:
Topics:
  • Program Administration
Transmittal Number: AR
Arkansas
Current CHIP State Plan as amended by SPA 3 and Factsheet as of 06-30-2004.
Approval Date:
Effective Date:
Links:
Topics:
  • Current State Plan
  • State Plan Factsheet
Transmittal Number: NV-24-0008/NV-24-0009
Nevada

SPA NV-24-0008 demonstrates Nevada's compliance with the CAA, 2023 requirement to provide continuous eligibility for children.  SPA NV-24-0009 provides Nevada with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its CHIP program.

Approval Date:
Effective Date:
Links:
Topics:
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Transmittal Number: MO-23-0011
Missouri

This SPA updates the CHIP state plan to remove the state’s premium assistance program as of January 1, 2023. The state also makes non-substantive updates to its CHIP state plan to more clearly reflect existing policies. The updates are effective September 1, 2023.

Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
  • Current State Plan
Transmittal Number: WV-CSPA-11
West Virginia
CHIPRA Section 503 - Prospective Payment System for FQHCs & RHCs.
Approval Date:
Effective Date:
Links:
Topics:
  • Financing & Reimbursement