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).
23-0011: KidsCare (CHIP) Income Eligibility
Establishes CHIP eligibility for children up to 225% of the federal poverty level (FPL).
23-0012: KidsCare (CHIP) Premiums and Strategic Objectives
Updates KidsCare (CHIP) premiums to include children up to 225% FPL and updates the State Plan Strategic Objectives.
22-0017 – CHIP Continuous Coverage
Provides for 12-months of CHIP Continuous Eligibility, up to age 19.
SPA 22-0010 - 12-Month Postpartum Continuous Eligibility (KidsCare)
Establishes 12-months of postpartum continuous eligibility for pregnant KidsCare beneficiaries.
SPA 22-0007 - CHIP COVID-19 Coverage
This SPA attests to the state providing mandatory CHIP coverage of COVID-19 testing, vaccination and treatment services.
SPA 20-012 - CHIP SUPPORT Act BH Services
To bring the CHIP state plan into compliance with provisions of the SUPPORT Act that require Behavioral Health (BH) services to be explicitly detailed in the CHIP State Plan document.
SPA 20-002 - CHIP Disaster Relief
Updates the CHIP State Plan to provide the state flexibility to waive cost sharing requirements and to provide additional flexibilities around enrollment and renewal timeframes in response to COVID-19.
Updates CHIP State Plan to comply with the Managed Care Regulations release in 2016.
Updates the State Plan to make technical changes and assurances related to Mental Health Parity regulations.
Updates the State Plan to change the premium lock out period from 90 days to 2 months.
Updates the State Plan to remove the enrollment cap on the KidsCare program.
Updates the State Plan to include children ineligible for Medicaid as a result of the elimination of income disregards.
Updates the State Plan to include Non-Financial Eligibility – CHIP SPAs.
Updates the State Plan to include MAGI eligibility and Methods.
Updates the State Plan to include income eligibility for children under Medicaid expansion.
Updates the State Plan to include general eligibility processing for the separate child health insurance program.
Updates the State Plan to remove the waiting list for the KidsCare (CHIP) program.
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 (Note: This SPA has been withdrawn as described below.)
Implements an enrollment cap on the Children's Health Insurance Program, known as KidsCare in Arizona.
- Effective 01/01/2010
- Approved 03/15/2010
- Submitted 12/30/2009
Increases monthly premium amounts for children between 150 percent to 200 percent of the Federal poverty level (FPL).
- Effective 05/01/2009
- Approved 04/13/2009
- Submitted 02/11/2009
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 02/01/2004
- Approved 04/02/2004
- Submitted 01/14/2004, additional information submitted 02/26/2004 & 03/05/2004
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 10/01/2003
- Approved 12/16/2003
- Submitted 09/22/2003, additional information submitted 11/18/2003
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 08/24/2001 implementation date even though the template was completed in 2002.
- Effective 08/24/2001
- Approved 09/19/2002
- Submitted 06/27/2002
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 10/01/2001
- Approved 11/15/2001
- Submitted 08/17/2001, additional information submitted 09/21/2001 and 09/24/2001
Allows the state to accept parental declaration of income for the KidsCare Program.
- Effective 10/01/2000
- Approved 01/26/2001
- Submitted 10/30/2000
Permits Arizona to disregard earnings from employment by the Census Bureau to assist in Census 2000 when making eligibility determinations.
- Effective 04/01/2000
- Approved 04/03/2000
- Submitted 03/31/2000
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 11/01/1998
- Approved 12/01/1999
- Submitted 09/17/1999
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 10/01/1999
- Approved 08/23/1999
- Submitted 06/16/1999
Provides additional reasons why a child who has been determined eligible would not receive the guaranteed initial 12-month continuous coverage.
- Effective 01/01/1999
- Approved 05/21/1999
- Submitted 02/23/1999
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