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2 Date Amendment #10 Submitted: March 17, 2009 Date Amendment #9 Approved:

Pending Date Amendment #9 Effective: November 1, 2008 (Substance Abuse &Speech-Language Pathology Services) January 1, 2009 (Mental Health & Developmental Disability Agency)

Background

• On February 17, 1998, Idaho submitted a Title XXI state plan to expand Medicaid coverage to optional targeted low-income children up to age 19 with incomes through 160 percent of the Federal poverty level (FPL).

Amendments

• On October 13, 1998, the State submitted an amendment to its approved Title XXI plan to lower the income eligibility standards from incomes through 160 percent of the FPL to incomes through 150 percent of the FPL, retroactive to July 1, 1998. This change was mandated by the Idaho Legislature, and the State discussed this change in its original Title XXI Plan proposal.

• On March 21, 2000, Idaho submitted an amendment to its Title XXI plan to implement program design changes to increase coordination of efforts across agencies, simplify the application, and improve media and outreach approaches.

• Idaho submitted its third amendment on June 28, 2002. This amendment updates and amends the CHIP state plan to indicate the State’s compliance with the final CHIP regulations.

• On February 25, 2004, Idaho submitted an amendment to create a separate child health program (CHIP B), to expand coverage to children with family incomes over 150 percent through 185 percent of the FPL.

• On August 30, 2004, Idaho submitted its fifth Title XXI state plan amendment (SPA), and subsequently revised it on December 1, 2004, to request secretarial approval for a new benefit package for the State's separate child health program, CHIP B. The amendment specifically: removes the 20-day limit on coverage of outpatient mental health services; limits coverage of inpatient mental health services to 30 days per year; eliminates coverage for dental services, except for emergency dental; eliminates coverage for durable medical equipment; and limits coverage of therapy services (i.e., physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders) to only those services provided by a hospital.

• On June 9, 2005, Idaho submitted its sixth amendment. The amendment removes the enrollment cap on the State’s separate child health program (CHIP-B) and changes the consequences for delinquent CHIP-B premium payments from a family losing