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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 |
Implementation Activities
- CMS Report: CHIPRA One Year Later - Connecting Kids to Coverage (PDF)
- News Release: Sebelius, Vilsack Celebrate One Year Anniversary of Children's Health Insurance Law, Highlight Campaign to Cover Kids (HTML)
CHIP Tips
- Understanding the New Quality Initiatives in CHIPRA
- An Overview of the CHIPRA Outreach and Enrollment Grants
- Implementation Choices for the Children's Health Insurance Program Reauthorization Act of 2009
- New Federal Funding Available to Cover Immigrant Children and Pregnant Women
- CHIP Financing Structure
- Citizenship Documentation Changes
- Medicaid Performance Bonus
- Medicaid Performance Bonus "5 of 8" Requirement
CMS Guidance
- State Health Official Letter, February 4, 2010 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 Provides guidance on the Express Lane eligibility option to enable States to effectively pursue this strategy.
- State Health Official Letter, February 2, 2010 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 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 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 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 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 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 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 Provides answers to frequently asked questions regarding coverage of pregnant women under CHIP.
- State Health Official Letter, August 31, 2009 Provides general information on the eligibility of deemed newborns.
- State Health Official Letter, August 31, 2009 Provides general guidance on applying the Medicaid managed care rules to CHIP.
- State Health Official Letter, May 11, 2009 (Note: After posting a letter on May 8th, CMS deleted it from its website; it was reissued on May 11th.)
Provides general information concerning the new option to cover pregnant women through CHIP and guidance on amending a CHIP state plan to do so.
- Statement Related to Premium Assistance Provision in CHIPRA Provides information on Section 311, which states that the loss of eligibility in Medicaid or CHIP serves as a qualifying event for employer-sponsored coverage.
- State Health Official Letter, April 17, 2009 Provides a general overview of the key provisions in the new law.