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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 831 - 840 of 949

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Transmittal Number: IA-CSPA-11
Iowa
This SPA increases the total number of managed care counties and reduces the number of FFS counties.
Approval Date:
Effective Date:
Links:
Topics:
  • Delivery System
Transmittal Number: AZ-CSPA-12
Arizona
Enrollment Freeze.
Approval Date:
Effective Date:
Links:
Topics:
  • Outreach & Enrollment
Transmittal Number: TN-CSPA-9
Tennessee
This SPA changes the method of service delivery for health benefits from a full-risk arrangement to fee-for-service and administrative services only arrangement.
Approval Date:
Effective Date:
Links:
Topics:
  • Delivery System
Transmittal Number: MI-CSPA-13
Michigan
CHIPRA Section 503 - Prospective Payment System for FQHCs & RHCs.
Approval Date:
Effective Date:
Links:
Topics:
  • Financing & Reimbursement
Transmittal Number: TN-24-0001-DRAL
Tennessee

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

Approval Date:
Effective Date:
Links:
Topics:
  • Disaster Relief
Transmittal Number: WI-24-0013
Wisconsin

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.

Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: SD-24-0015
South Dakota

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

Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: NV-24-0026 and NV-24-0027
Nevada

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.

Approval Date:
Effective Date:
Links:
Topics:
  • Cost Sharing
Transmittal Number: IN-23-0016
Indiana

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.

Approval Date:
Effective Date:
Links:
Topics:
  • Eligibility
Transmittal Number: ND-CSPA-8
North Dakota
CHIPRA Section 503 - Prospective Payment System for FQHCs & RHCs.
Approval Date:
Effective Date:
Links:
Topics:
  • Financing & Reimbursement