Implements mental health parity regulations at 42 CFR 457.496 to ensure that treatment limitations and financial requirements applied to mental health and substance use disorder benefits are no more restrictive than those applied to medical\/surgical benefits.

The approval of SPA ND-13-0103 includes full approval of the state's alternative single streamlined paper application only. The state is using an interim alternative paper application formultiple human services programs. By March l, 2018, the state will implement a revised alternative paper application used to apply for multiple human services programs that addresses CMS concerns outlined in the companion letter issued with this SPA approval.

Through this SPA, the state provides temporary adjustments to the state's enrollment and redetermination policies and cost-sharing requirements for children in families impacted by disaster events.

Through this SPA, Arkansas amends provisions governing the eligibility determinations of the Federally Facilitated Exchange (FFE). Arkansas is now approved to accept assessments of CHIp eligibility from the FFE, rather than eligibility determinations made by the FFE.

Implements mental health parity requirements.

This SPA allows CHIP eligibility for all children with access to public employee coverage on the basis of a family member's employment who are otherwise eligible targeted low-income children as defined at 42 CFP* 457 .310, provided that the child's household income meets the same income standards as those applied to targeted low-income children under the CHIP state plan.

Through this SPA, Georgia adds nonemergency medical transportation, case management services, and enabling services as covered benefits under the CHIP state plan.

This SPA updates California's full state plan by removing the former Healthy Families component of the state's separate CHIP, which covered children up to age 19 above the Medicaid levels with income up to 250 percent of the Federal poverty level (FPL).

Allows Utah will use the remaining allocated funds to continue coverage until such funds are depleted.