| CHIP state plan (current version) |
2016 (newest version) |
Type of Change |
Reason for Change |
Burden Change |
| Section 6.1- Provides states the opportunity to select and describe the benefit package(s) provided to individuals covered under the CHIP state plan. |
Updates guidance and options available under section 6.1.4 Secretary approved coverage |
Rev |
Providing further clarification |
No |
| Section 6.2- Provides states the opportunity to select and describe the specific amount, duration, and scope of benefits covered under the CHIP state plan |
Adds option to clearly select EPSDT, vision screenings, and hearing screenings as a potential benefit states provide |
Rev |
To increase clarity in relation to the SPA review process |
No |
| Section 6.2- MHPAEA |
Adds assurances and description of state policies in the benefits section (Section 6 of the CHIP state plan) related to the state's compliance with the mental health parity requirements at §457.496 |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states. |
| Section 6.2.1- MHPAEA |
States standards to define medical/ surgical benefis, mental health benefits, and substance use disorder benefits and provide assurances whether MHPAEA applies to the State plan |
Add |
Determines if rest of section needs to be completed. |
May slightly increase data reporting burden for states. |
| Section 6.2.2- MHPAEA |
EPSDT and Deemed Compliance: Assurances and description of state policies related to a separate CHIP's provision of EPSDT meeting statutory requirements |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states seeking deemed compliance.. |
| Section 6.2.3 -MHPAEA |
Mental Health Parity Analysis for States Not Providing EPSDT to All Covered Populations: Assurances and descriptions related to the parity analysis such as the state's standards to define benefits and classifications and general requirements for benefits and benefit limitations |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states. |
| Section 6.2.4-MHPAEA |
Annual and Lifetime Limits: Description of and assurances related to the state's parity analysis specific to annual and/ or lifetime limits |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states implementing annual or lifetime limits on benefits. |
| Section 6.2.5- MHPAEA |
Quantitative Treatment Limitations (QTL): Description of and assurances related to state's parity analysis of QTLs |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states implementing QTLs. |
| Section 6.2.6- MJHPAEA |
Parity Assurances for Non-Quantitative Treatment Limitations |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states implementing NQTLs. |
| Section 6.2.7- MHPAEA |
Parity Assurances for Availability of Information, such as medical necessity criteria or denial of payment for mental health or substance use disorder benefits |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states. |
| Section 8.4- MHPAEA |
Adding assurances related to parity requirements specific to financial requirements (ex: co-payments) |
Add |
New regulations effective 5/31/16 with a compliance date of 10/2/17 |
May slightly increase data reporting burden for states implementing cost sharing. |