On February 4, 2009, President Obama signed into law the Children’s Health Insurance Program Reauthorization Act of 2009 (known as CHIPRA). The new law (Public Law No. 111-3) extends CHIP over a four and a half year period (April 1, 2009 to September 30, 2013) and includes a number of important program and financing changes affecting Medicaid as well as CHIP.

Overview

CMS Reports

CMS Guidance

  • State Health Official Letter, December 28, 2012. This letter informs states about the conversion of current net income eligibility thresholds to equivalent modified adjusted gross income (MAGI) thresholds in Medicaid and CHIP, the conversion methodology and process, and the timeframes for executing the conversions.
  • Federal Register, 75: 9233-9249, February 17, 2011. This final rule describes the methodologies and procedures for determining states’ FY 2009 through 2015 allotments.
  • State Health Official Letter, February 14, 2011. This letter provides guidance regarding implementation of the quality measures in CHIPRA, including sections 401, 1139A(b), and 402.
  • State Health Official Letter, October 1, 2010. This letter provides guidance on the changes CMS is making in the State Plan Amendment (SPA) review process.
  • State Health Official Letter, October 1, 2010. This letter provides guidance on the implementation of section 104 of CHIPRA and FAQs on Performance Bonus Payments.
  • State Health Official Letter, July 1, 2010. This letter provides detailed guidance on the implementation of section 201(b) of CHIPRA, which provides increased administrative funding for translation or interpretation services.
  • State Health Official Letter, July 1, 2010. This letter provides guidance on implementation of section 214 of CHIPRA, which permits States to cover certain children and pregnant women in both Medicaid and CHIP who are “lawfully residing” in the United States.
  • State Health Official Letter, March 2, 2010. This letter provides guidance on sections 114 and 115 of CHIPRA, which are related to the FMAP rate that a State may claim for CHIP expenditures.
  • State Health Official Letter, February 4, 2010. This letter provides general guidance on the implementation of section 503 of CHIPRA concerning payment for federally qualified health centers (FQHCs) and rural health clinics (RHCs).
  • State Health Official Letter, February 4, 2010. This letter provides guidance on the Express Lane eligibility option to enable States to effectively pursue this strategy.
  • State Health Official Letter, February 2, 2010. This letter provides general information on the four premium assistance options available to states and discusses the differences among these options.
  • State Health Official Letter, January 22, 2010. This letter provides general information on the grace period during which CHIP enrollees may pay their monthly premiums before being disenrolled.
  • State Health Official Letter, December 28, 2009. This letter provides an overview and guidance on the changes made by section 211 of CHIPRA relating to citizenship documentation.
  • State Health Official Letter, December 15, 2009. This letter provides guidance on the Performance Bonus Payments for FY 2009 through FY 2013 to help States offset the costs of increased Medicaid child enrollment.
  • State Health Official Letter, November 4, 2009. This letter provides general guidance on implementation of section 502, which imposes mental health and substance use disorder parity requirements on all CHIP State plans.
  • State Health Official Letter, October 21, 2009. This letter provides more specific guidance on the application of the quality assurance standards to State CHIP managed care programs.
  • State Health Official Letter, October 7, 2009. This letter provides general guidance on some of the provisions in section 501, including the dental benefit provisions and the State option to provide dental-only supplemental coverage.
  • State Health Official Letter, September 3, 2009. This letter provides answers to frequently asked questions regarding coverage of pregnant women under CHIP.
  • State Health Official Letter, May 11, 2009. This letter provides general information concerning the new option to cover pregnant women through CHIP and guidance on amending a CHIP state plan to do so.