This SPA demonstrates compliance with CHIP mental health parity regulations.

Through this SPA, the state adds coverage in CHIP for home and community-based services that are identical to those provided under section 1915(i) of the Social Security Act (the Act) and home and community-based attendant services and supports under section 1915(k) of the Act, in the Medicaid state plan.

Through this SPA, Missouri will accept CHIP eligibility determinations made by the Federally Facilitated Exchange (FFE), pursuant to section 2107(e)(1)(U) of the Social Security Act and 42 CFR 457.348, which requires states to have procedures in place for enrollment simplification and coordination with Exchanges and Medicaid.

Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023).

This amendment implements a health services initiative (HSI) to support the Oklahoma Child and Adolescent Psychiatry Access Program (OKCAPMAP).