Cost Sharing Changes.

Clarifies that the state does not conduct presumptive eligibility for any of its CHIP populations and removes outdated language related to this provision from the state plan.

North Carolina updates the federal poverty levels (FPL) of the eligibility and enrollment fee bands to be consistent with the Modified Adjusted Gross Income (MAGI) eligibility levels:.

Through this SPA, Mississippi transitions administration of the separate CHIP benefit package from one to two Coordinated Care Organizations (CCOs) and raises the annual limit on dental benefits from $1,500 to $2,000.

Reduces the number of premium bands in the state's CHIP program, PeachCare for Kids, from ten premium bands to six premium bands. The state also updates the federal poverty levels (FPLs) of the premium bands to be consistent with Modified Adjusted Gross Income (MAGI) eligibility levels and adjusts the premium amounts for inflation. This SPA also deletes obsolete information in the CHIP state plan and removes the cap on psychotherapy, which was previously limited to ten hours per month.

Describes the payment methodologies used to ensure that Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) receive reimbursement equivalent in aggregate by federal fiscal year to the amounts of reimbursement each FQHC\/RHC would have received under the Medicaid Prospective Payment System, as required under section 2107(e)(l)(G) of the Social Security Act.

Eliminates the express lane eligibility program.

The state updates the federal poverty levels (FPLs) of the eligibility levels and premium bands to be consistent with Modified Adjusted Gross Income (MAGI). This SPA also clarifies that Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) are paid according to the Medicaid Prospective Payment System.

The state extends the CHIP renewal grace period from its current 30 days to 60 days for the period of one year (August 1, 2014 July 31, 2015) to allow families additional time to provide the state with requested documentation when the state cannot make a redetermination of eligibility based on information in the beneficiary's account and electronic data matching fails. By allowing this additional time to provide the requested documentation, the state seeks to minimize the numb r of children who lose coverage due to non-compliance with the renewal process.

This SPA permits Connecticut to make changes to co-payment amounts, Increases in co-insurance and A change in the calculation methodology to determine the maximum cost-sharing amounts.