The SPA amends the provisions governing the Federally Facilitated Marketplace (FFM) eligibility determinations. Through this SPA, Louisiana will accept CHIP eligibility determinations made by the FFM.

To amend the provisions governing Federally Facilitated Marketplace (FFM) eligibility determinations. Through this SPA, Louisiana will only accept assessments of CHIP eligibility from the FFM rather than accept CHIP eligibility determinations made by the FFM.

Lifts the state's existing enrollment freeze enabling children ages birth through age 19 with income above 133 percent up to and including 200 percent of the federal poverty level (FPL) to enroll in the state's CHIP, known as "KidsCare.".

These SPA approvals are being granted in follow up to actions the state completed in order to ensure compliance with sections\u00A71905(a) and 1905(r)(5) of the Social Security Act.

Through this SPA, Wisconsin updates its CHIP family premium cost sharing amounts to reflect the conversion to the Modified Adjusted Gross Income equivalent standards. CHIP families are required to pay monthly premiums according to federal poverty levels (FPL).

This SPA permits Michigan to implement a new health services initiative (HSI) for the enhancement and expansion of its current lead abatement program. As part of this expansion, the state will provide coordinated and targeted lead abatement services to eligible properties in the impacted areas of Flint, Michigan and other areas within the state of Michigan.

Adds applied behavior analysis (ABA) as a covered benefit for all CHIP eligible children with a diagnosis of autism spectrum disorder.

Clarifies the state's non-financial eligibility policies on residency; citizenship; social security numbers; substitution of coverage, , non-payment of premiums; and, continuous eligibility.

Clarifies the state's non-financial eligibility policies on residency citizenship; social security numbers; submission of coverage, non-payment of premiums; and continuous eligibility.

To provide coverage in its separate CHIP, for children subject to Section 2101(f) of the Affordable Care Act.