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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.  Persons with disabilities having problems accessing the PDF files may call 410-786-0429 for assistance. To request a Word version of the CHIP State Plan, please contact your CHIP Project Officer.

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 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 501 - 510 of 959

Illinois
SPA number IL-14-0007 converts the state's existing income eligibility standards to MAGI\u00AD equivalent standards, by age group, for children covered in its title XXI-funded Medicaid program. A copy of the approved state plan page (CS3) is enclosed, and this should be incorporated into the state's approved CHIP state plan.
Approval Date: June 6, 2016
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: IL-14-0007-MC2 via email

Washington
This SPA updates its premium cost sharing amounts to be consistent with the state's approved Modified Adjusted Gross Income conversion plan, and makes technical updates to its CHIP State Plan.
Approval Date: June 1, 2016
Effective Date: July 1, 2015
Links:
Topics: Financing & Reimbursement Program Administration
Share Transmittal Number: WA-16-0001-CHIP via email

Delaware
This Delaware SPA updates its CHIP family premium cost sharing amounts to be consistent with the state's approved Modified Adjusted Gross Income conversion plan. Effective July 1, 2014, CHIP families are now required to pay monthly premiums according to federal poverty level (FPL) as detailed in the following table:.
Approval Date: May 19, 2016
Effective Date: July 1, 2014
Links:
Topics: Cost Sharing
Share Transmittal Number: DE-CHIPSPA-7 via email

Massachusetts
Adds applied behavior analysis (ABA) as a covered benefit for all CHIP eligible children with a diagnosis of autism spectrum disorder.
Approval Date: May 18, 2016
Effective Date: July 1, 2015
Links:
Topics: Benefits Program Administration
Share Transmittal Number: MA-16-0004-CHIP via email

Tennessee
Clarifies that the state does not conduct presumptive eligibility for any of its CHIP populations and removes outdated language related to this provision from the state plan.
Approval Date: April 26, 2016
Effective Date: July 1, 2015
Links:
Topics: Eligibility Program Administration
Share Transmittal Number: TN-16-0014 via email

Tennessee
Updates the state's current MAGI-equivalent eligibility standards, by age group, for children covered in its title XXI-funded Medicaid program.
Approval Date: April 15, 2016
Effective Date: January 1, 2014
Links:
Topics: Eligibility Program Administration
Share Transmittal Number: TN-14-0010-MC2 via email

Michigan
These amendments transition the majority of children enrolled in the state's separate CHIP to a Medicaid expansion program.
Approval Date: March 8, 2016
Effective Date: January 1, 2016
Links:
Topics: Benefits Program Administration
Share Transmittal Number: MI-15-0003-MC2 via email

Michigan
These amendments transition the majority of children enrolled in the state's separate CHIP to a Medicaid expansion program. Effective January 1, 2016, the following populations will now receive coverage under a Medicaid expansion program:.
Approval Date: March 8, 2016
Effective Date: July 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: MI-15-0002-CHIP via email

New Jersey
This SPA implements the addition of two benefits for children in families with incomes up to and including 200 percent of the federal poverty level: Behavioral Health Homes (BHH) and Psychiatric Emergency Rehabilitative Services (PERS).
Approval Date: February 24, 2016
Effective Date: July 1, 2015
Links:
Topics: Program Administration
Share Transmittal Number: NJ-15-0023 via email

Tennessee
Updates covered benefits and copayment amounts for medical supplies home health, home infusion therapy, allergy testing, and specialty pharmacy drugs purchased at a n specialty network pharmacy.
Approval Date: February 19, 2016
Effective Date: September 15, 2014
Links:
Topics: Benefits Financing & Reimbursement Program Administration
Share Transmittal Number: TN-15-0012 via email