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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 581 - 590 of 959

Washington
This SPA incorporates the Modified Adjusted Gross Income (MAGI)-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: August 15, 2014
Effective Date: October 1, 2013
Links:
Topics: Eligibility
Share Transmittal Number: WA-14-0004-MC4 via email

Wisconsin
Provides assurance that the state will apply methodologies based on MAGI for all separate CHIP-covered groups. Page CS7 indicates that, using the approved MAGI conversion plan income thresholds, the state will cover targeted low-income children, and page CS9 indicates that the state will cover children from conception to birth when the mother is not eligible for Medicaid.
Approval Date: August 12, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: WI-13-0028-MC1 via email

Tennessee
In SPA number TN-14-0006, page CS15 provides assurance that the state will apply methodologies based on MAGI for all separate CHIP covered groups, using the approved MAGI conversion plan income thresholds.
Approval Date: July 28, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: TN-14-0006-MC1 via email

Kansas
Converts State's Existing Income Eligibility Standards to MAGI-Equivalent Standards, by Age Group, for Children Covered in its Title XXI-Funded Medicaid Program.
Approval Date: July 23, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number: KS-14-0010 via email

New Mexico
Converts the state's existing income eligibility standards to MAGI-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 attached, and should be incorporated into the state's approved CHIP state plan.
Approval Date: July 23, 2014
Effective Date: April 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number: NM-14-0010 via email

Wyoming
The SPA number WY-13-0008 converts the state's existing income eligibility standards to MAGI-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 attached, and should be incorporated into the state's approved CHIP state plan. This page supersedes the current Medicaid expansion Section (4.0) of the current CHIP state plan.
Approval Date: July 22, 2014
Effective Date: January 1, 2014
Links:
Topics: Program Administration
Share Transmittal Number: WY-13-0008-MC2 via email

Washington
Modified Adjusted Gross Income Eligibility.
Approval Date: July 17, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share Transmittal Number: WA-14-0002-MC3 via email

Texas
Incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: July 17, 2014
Effective Date: October 1, 2013
Links:
Topics: Program Administration
Share Transmittal Number: TX-13-0035-MC4 via email

Mississippi
In addition to proposing to come into compliance with CHIPRA's dental requirements, this SPA also clarifies language with regard to the transfer of the separate the Children's Health Insurance Program (CHIP) from the Health Insurance Management Board to the Division of Medicaid (DOM). This SPA also updates the language regarding emergency services clarifying emergent and non-emergent care as well as how the state provides access to covered services.
Approval Date: July 10, 2014
Effective Date: July 1, 2013
Links:
Topics: Benefits Program Administration
Share Transmittal Number: MS-CHIPSPA-8 via email

Tennessee
This SPA clarifies the state's non-financial eligibility policies on residency, citizenship, social security numbers, substitution of coverage, and continuous eligibility.
Approval Date: July 10, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility Program Administration
Share Transmittal Number: TN-14-0009-MC5 via email