Arizona KidsCare (CHIP) State Plan Amendments

This page lists State Plan Amendments (SPAs) to the KidsCare State Plan that have been approved by the Centers for Medicare and Medicaid Services (CMS).


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SPA 13-006
Updates the State Plan to include children ineligible for Medicaid as a result of the elimination of income disregards.

SPA 13-005
Updates the State Plan to include Non-Financial Eligibility – CHIP SPAs.

SPA 13-004
Updates the State Plan to include MAGI eligibility and Methods.

SPA 13-003
Updates the State Plan to include income eligibility for children under Medicaid expansion.

SPA 13-002
Updates the State Plan to include general eligibility processing for the separate child health insurance program.

SPA 13-001
Updates the State Plan to remove the waiting list for the KidsCare (CHIP) program.

SPA 10-001
Eliminates the Children's Health Insurance Program, known as KidsCare in Arizona, due to insufficient funding. (Note: This SPA has been withdrawn as described below.)

SPA 09-002
Implements an enrollment cap on the Children's Health Insurance Program, known as KidsCare in Arizona.

SPA 09-001
Increases monthly premium amounts for children between 150 percent to 200 percent of the Federal poverty level (FPL).

SPA 04-01
Revises the CHIP State Plan in order to impose premiums for enrollees with incomes above 100 to 150 percent of the Federal Poverty Level (FPL) and increase premiums for enrollees with incomes above 150 percent of the FPL.

  • Effective 2/1/04
  • Approved 4/2/04 [PDF]
  • Submitted 1/14/04, additional information submitted 2/26/04 & 3/5/04

SPA 03-01
Revises the CHIP State plan to increase premiums for enrollees with incomes above 175 percent of the Federal poverty and remove co-payments for all enrollees.

  • Effective 10/1/03
  • Approved 12/16/03 [PDF]
  • Submitted 9/22/03, additional information submitted 11/18/03

SPA 02-01
AHCCCS' response to the CMS requirement that all states conform to a national template. AHCCCS updated old sections and completed new sections. CMS was delayed in the issuing of the new template; however, CMS instructed AHCCCS to use the 8/24/01 implementation date even though the template was completed in 2002.

SPA 01-01
Expands covered services of Title XXI; reduces the period of un-insurance from 6 to 3 months; waives the period of un-insurance for children who are seriously or chronically ill and establishes a hardship exemption process to the disenrollment process for non-payment of premiums.

  • Effective 10/1/01
  • Approved 11/15/01 [PDF]
  • Submitted 8/17/01, additional information submitted 9/21/01 and 9/24/01

SPA 00-02
Allows the state to accept parental declaration of income for the KidsCare Program.

SPA 00-01
Permits Arizona to disregard earnings from employment by the Census Bureau to assist in Census 2000 when making eligibility determinations.

  • Effective 4/1/00
  • Approved 4/3/00
  • Submitted 3/31/00

SPA 99-03
Clarifies reporting requirements of quality indicators, strategic objectives and performance goals. In addition, Native Americans will not be imposed cost-sharing obligations. Finally, children who have been terminated from private insurance as a result of lifetime limits will be considered for Title XXI eligibility purposes.

  • Effective 11/1/98
  • Approved 12/1/99
  • Submitted 9/17/99

SPA 99-02
Increases income thresholds to 200% FPL, charges premiums for FPL over 150%, allows physician assistants to bill independently for behavioral health services, adds case management services for DD population, clarifies coverage requirements, and clarifies agency practice with regard to direct services.

  • Effective 10/1/99
  • Approved 8/23/99
  • Submitted 6/16/99

SPA 99-01
Provides additional reasons why a child who has been determined eligible would not receive the guaranteed initial 12-month continuous coverage.

  • Effective 1/1/99
  • Approved 5/21/99
  • Submitted 2/23/99


For questions about the State Plan, write the Office of Intergovernmental Relations:

  • Arizona Health Care Cost Containment System (AHCCCS)
    ATTN: Office of Intergovernmental Relations
    801 E. Jefferson St, MD 4200
    Phoenix, AZ 85034