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• The State’s third SPA was submitted September 21, 1999, and added exceptions to the required 6-month waiting period prior to application for NJ KidCare (later renamed NJ FamilyCare) Plans B, C and D.

• The State submitted its fourth SPA on December 18, 1999, allowing for presumptive eligibility determinations when staff of acute care hospitals, Federally qualified health centers, or local health departments indicate that a child meets either NJ KidCare (later renamed NJ FamilyCare) Plan A, B or C, or Medicaid program eligibility standards, and that the child is a member of a household with a gross income not exceeding 200 percent of the FPL.

• The State submitted its fifth SPA on February 4, 2002, adding an additional income disregard for applicants to NJ FamilyCare. The disregard applies to individuals earning monetary rewards paid by the Division of Medical Assistance and Health Services for information leading to the recovery of at least $100 from individuals or entities that have engaged in health care-related fraud or abuse.

• The State’s sixth SPA was submitted on May 7, 2002, and eliminated cost-sharing requirements for American Indians and Alaskan Native children.

• The State submitted its seventh SPA on July 22, 2003, to increase premiums by 10 percent for NJ FamilyCare enrollees with family incomes above 150 percent of the FPL. This amendment also included an annual increase in premium amounts in accordance with the change in the FPL.

• The State submitted its eighth SPA on June 29, 2004, to update its State plan to indicate compliance with the final CHIP regulations.

• The State submitted its ninth SPA on December 23, 2004, to allow self-declaration of income on the NJ FamilyCare “Express Enrollment” application in eight school districts within the State.

• The State submitted its tenth SPA on April 4, 2005. It was subsequently withdrawn.

• The State submitted its eleventh SPA on May 30, 2005, to make changes in the eligibility process, including reducing the required period of uninsurance from 6 months to 3 months, guaranteeing 12 months of continuous eligibility in NJ FamilyCare, and increasing the threshold of presumptive eligibility from the 200 percent of the FPL to 350 percent of the FPL.

• New Jersey submitted its twelfth SPA on June 12, 2009, to provide for coverage under New Jersey’s CHIP State plan of uninsured pregnant women having gross income above 185 percent of the FPL up to and including 200 percent of the FPL. Since January 2001, New Jersey has been covering this population with title XXI funds through section 1115 demonstration authority. Through this SPA, New Jersey is implementing the new provision permitted by section 111 of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), which gives States the option to provide necessary prenatal, delivery, and