KCHIP State Plan Under Title XXI of the Social Security Act
The KY Medicaid KCHIP State Plan is available in Portable Document Format (PDF), which requires the use of Adobe Acrobat Reader. Download the free Adobe Acrobat reader.
What is the State Plan?
The State Plan is the officially recognized statement describing the nature and scope of Kentucky Medicaid's Children's Health Insurance (KCHIP)program.
The Children's Health Insurance Program (CHIP) was signed into law in 1997 and provides federal matching funds to states to provide health coverage to children in families with incomes too high to qualify for Medicaid, but who can't afford private coverage. All states have expanded children's coverage significantly through their CHIP programs, with nearly every state providing coverage for children up to at least 213 percent of the Federal Poverty Level (FPL).
The KCHIP State Plan includes the many provisions required by the Act, such as:
- Methods of Administration
- Services Covered
- Quality Control
- Fiscal Reimbursements.
Once the original Plan has been approved by DHHS, all future changes to the Plan must also be approved by DHHS before they can become effective. Plan changes are submitted by the state to the United States Department of Health and Human Services (DHHS), as State Plan Amendments (SPAs). DHHS, through the Centers for Medicare and Medicaid Services (CMS), reviews each SPA to determine whether it meets federal requirements and policies. The Plan is updated when CMS issues final approval of a SPA.
By law, a state's request to DHHS to approve a proposed State Plan, a SPA, or a waiver of a requirement, must be approved, disapproved, or additional information requested within 90 days of receipt. Otherwise, the request is considered to be approved. If CMS does submit a Request for Additional Information (RAI), that 90 day clock stops. At that time, the State must respond to the RAI within an additional 90 days or request that the SPA be "taken off-the-clock". If that happens, the clock stops and until all information is submitted, essentially doing away with and deadline.
The Plan on this website is for informational purposes only and is not legally binding. The official Plan is maintained by the Department for Medicaid Services, Division of Policy and Operations
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