U.S. flag

An official website of the United States government

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.

Reset

Results

Share all search results (link sends email)
Displaying 601 - 610 of 954

North Carolina
To provide coverage in its separate CHIP, for children subject to Section 2101(f) of the Affordable Care Act, as specified in the state's submission of CS14: Children Ineligible for Medicaid as a Result of the Elimination of Income Disregards.
Approval Date: May 21, 2014
Effective Date: January 1, 2014
Links:
Topics: Benefits Program Administration
Share via Email (link sends email)

Tennessee
SPA number TN 14-0007 describes the state's plan to provide coverage in its separate CHIP, for children subject to Section 2101(f) of the Affordable Care Act, as specified in the state's submission of CS14: Children Ineligible for Medicaid as a Result of the Elimination of Income Disregards. A copy of the approved CS14 is attached, and should be incorporated within a separate subsection under Section 4.1 of Tennessee's approved CHIP state plan.
Approval Date: May 21, 2014
Effective Date: January 1, 2014
Links:
Topics: Benefits Program Administration
Share via Email (link sends email)

Nevada
Clarifies State's Non-Financial Eligibility Policies on Residency, Citizenship, Social Security Numbers, Substitution of Coverage, Non-Payment of Premiums, Continuous Eligibility, and Presumptive Eligibility.
Approval Date: May 15, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share via Email (link sends email)

Wyoming
MAGI In SPA number WY-13-0011, page CS15 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\u00AD income children. A copy of the approved CS15 is attached and should be incorporated within a separate subsection under Section 4.3 of the state's approved CHIP state plan. Page CS15 also supersedes Attachment A of the state's current CHIP state plan. A copy of the approved CS7 is attached and supersedes the current Geographic Area, Age and Income Sections 4.1.1, 4.1.2 and 4.1.3 of the current CHIP state plan.
Approval Date: May 9, 2014
Effective Date: January 1, 2014
Links:
Topics: Financing & Reimbursement Program Administration
Share via Email (link sends email)

Massachusetts
This SPA incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: May 5, 2014
Effective Date: October 1, 2013
Links:
Topics: Eligibility
Share via Email (link sends email)

Mississippi
This SPA incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act.
Approval Date: May 5, 2014
Effective Date: October 1, 2013
Links:
Topics: Eligibility
Share via Email (link sends email)

New York
Provides Assurance that the State will Apply Methodologies Based on MAGI for All Separate CHIP Covered Groups.
Approval Date: May 5, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share via Email (link sends email)

New Jersey
This SPA 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.
Approval Date: April 21, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share via Email (link sends email)

Arkansas
Clarifies State's Non-Financial Eligibility Policies on Residency.
Approval Date: April 21, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility
Share via Email (link sends email)

Alabama
Provides assurance that the state will apply methodologies based on MAGI for all separate CHIP covered groups. Indicates that, using the approved MAGI conversion plan income thresholds, the state will cover targeted low-income children. Allows the state to cover children who have access to public employee coverage and updates the supporting documentation.
Approval Date: April 21, 2014
Effective Date: January 1, 2014
Links:
Topics: Eligibility Financing & Reimbursement Program Administration
Share via Email (link sends email)