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State Children’s Health Insurance Program

Phase 1 Effective Date: April 1, 1998

Revised: 1/26/98, 2/19/98, 3/3/98, 3/6/98 Phase 2 Effective Date: July 1, 1998

Revised: 8/20/98, 8/24/98, 10/1/99, 7/28/00, 1/31/01, 7/02/02, 7/22/02, 1/3/03, 2/13/04, 9/27/04, 11/15/04, 8/11/05, 10/1/06, 7/1/09, 7/1/10, 7/1/11, 7/1/12 8

SPA #17 (Policy Clarifications)

Effective Date: October 1, 2006

Implementation Date: October 1, 2006

SPA #18 (Legislative Changes) Effective Date: July 1, 2009

Implementation Date: July 1, 2009 and October 1, 2009 (for removal of

limitations for mental health and substance abuse services)

SPA #19 (CHIPRA Dental Compliance)

Effective Date: July 1, 2010

Implementation Date: July 1, 2010

SPA #19 (Legislative Changes and Improvements)

Effective Date: July 1, 2011

SPA #20 (Legislative Changes and Improvements)

SPA Withdrawn: January 31, 2012

SPA #21 (Legislative Changes and Improvements)

Proposed Effective Date: July 1, 2011

Proposed Implementation Date: July 1, 2011

SPA #22 (Legislative Changes and Clarifications)

Proposed Effective Date: July 1, 2012

Proposed Implementation Date: July 1, 2012 1.4- TC Tribal Consultation (section 2107(e)(1)(C) Describe the consultation process that occurred specifically for the development and submission of the State Plan Amendment, when it occurred and who was involved.

SPA #21 – Proposed Effective Date: September 1, 2011 In accordance with out tribal consultation process described in Section 2.3-TC, letters were sent to the Seminole and Miccosukee Tribes on 9/7/2011 outlining the SPA changes. The letters ask that comments or questions be directed to Gail Hansen at the Agency for Health Care Administration.

SPA #22 – Proposed Effective Date: July 1, 2012 In accordance with our approved tribal consultation process described in Section 2.3- TC, the tribal notification letters were sent to the Seminole and Miccousukee Tribes