CHIP State Plan Amendments

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

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.

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.

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.

Through these SPAs, the state transitions all children from the state’s separate CHIP to a Medicaid expansion CHIP.

Collectively, these SPAs create a separate CHIP for the from-to-conception-to-end-of-pregnancy population (FCEP, otherwise known as the "unborn" option)
Collectively, with household incomes up to 259 percent of the federal poverty level (FPL), for birth parents that are not otherwise eligible for Medicaid or CHIP. Specifically, MD-23-0003-CHIP and MD-23-0004 establishes financial eligibility and residency requirements respectively for the new separate CHIP FCEP population. In addition, MD-23-0002-CHIP creates a new Health Services Initiative (HSI) program to cover postpartum services to birth parents from the same population through the end of the month in which the 120th postpartum day occurs.

This SPA updates the state's performance goals and strategic objectives to align with their CHIP annual report.

This letter extends Delaware's approved Evergreen Disaster Relief State Plan Amendment to include the following flexibilities: state will continue to provide continuous eligibility to CHIP enrollees, waive all premiums for CHIP enrollees, and not disenroll beneficiaries for failure to pay premiums. These flexibilities are effective through June 30, 2024.

This letter reactivates Iowa's approved Evergreen Disaster Relief State Plan Amendment. The state will be waiving the collection of premiums for all CHIP beneficiaries through December 31, 2023. The state will then resume the standard premium and cost sharing policies for individuals who have completed a full renewal in the last 12 months. The state will resume the collection of premiums on a rolling basis as renewals are conducted through the state's COVID-19 PHE unwinding period, scheduled to end June 1, 2024.

This amendment implements a health services initiative (HSI) to provide 12 months of postpartum coverage for individuals covered under the from conception group (also known as the “unborn” option).