The approval of SPA MI-13-0004 includes approval of the state's alternative single streamlined paper application. The State is also using an interim alternative single streamlined online application and by December 31, 2014, will implement a revised alternative single streamlined online application that addresses CMS concerns outlined in the companion letter issued with this SPA approval.

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.

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

To clarify the state's non-financial eligibility policies on residency, citizenship, social security numbers, substitution of coverage, and non\u00AD payment of premiums.

These amendments transition the majority of children enrolled in the state's separate CHIP to a Medicaid expansion program.

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-income children, and page CS9 indicates that the state will cover children from conception to birth when the mother is not eligible for Medicaid.

The approval of SPA IL-14-0008 includes full approval of the state's paper application. The state is using an interim alternative single streamlined online application. By December 31, 2015, the state will implement a revised alternative single streamlined online application that addresses CMS concerns outlined in the companion letter issued with this SPA approval.

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.

SPA number IL-14-0007 converts the state's existing income eligibility standards to MAGI\u00AD 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 enclosed, and this should be incorporated into the state's approved CHIP state plan.

This SPA relates to Modified Adjusted Gross Income (MAGI) Eligibility, and it has an effective date of January 1, 2014.