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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).
Note: Information provided in PDF files.
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(Note: This SPA has been withdrawn as described below.)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
Increases monthly premium amounts for children between 150 percent to 200 percent of the Federal poverty level (FPL).
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.
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.
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.
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.
Allows the state to accept parental declaration of income for the KidsCare Program.
Permits Arizona to disregard earnings from employment by the Census Bureau to assist in Census 2000 when making eligibility determinations.
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.
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.
Provides additional reasons why a child who has been determined eligible would not receive the guaranteed initial 12-month continuous coverage.
For questions about the State Plan, call or write the Office of Intergovernmental