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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850
Center for Medicaid and CHIP Services
December 18, 2012
Justin M. Senior Deputy Secretary for Medicaid 2727 Mahan Drive, MS #8 Tallahassee, FL 32308
Dear Mr. Senior:
Your title XXI Children’s Health Insurance Program (CHIP) state plan amendment (SPA) number 22, submitted on September 20, 2012, has been approved. This amendment has a retroactive effective date of July 1, 2012.
Through this SPA, the state expands its CHIP to include dependents of public agency employees, who are otherwise eligible under the state plan. The state will provide this coverage in accordance with the maintenance of agency contribution exception to the exclusion of employees of a state public agency. In addition, this SPA clarifies state policies regarding self-declaration of information required for eligibility and the timely processing of claims payments for MediKids and the Children’s Medical Services Network.
The state will delay the application of its 60-day waiting period for children of employees of a public agency, who transition from other health insurance, during a temporary transition period, from July 1, 2012 through June 30, 2013. After this transition period, the state’s waiting period policy will apply to children of employees of a public agency.
Your title XXI project officer is Ms. Amy Lutzky. She is available to answer questions concerning this amendment and other CHIP-related issues. Ms. Lutzky’s contact information is as follows:
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services
Mail Stop S2-01-16
7500 Security Boulevard
Baltimore, MD 21244-1850
Telephone: (410) 786-0721
Facsimile: (410) 786-5943
E-mail: Amy.lutzky@cms.hhs.gov
Official communications regarding program matters should be sent simultaneously to Ms. Lutzky and to Ms. Jackie Glaze, Associate Regional Administrator in our Atlanta Regional Office. Ms. Glaze’s address is: