Page 2

Date Amendment #10 Disapproved: September 7, 2007

Date Amendment #11 Submitted: May 14, 2007 Date Amendment #11 Approved: May 21, 2009 Date Amendment #11 Effective:

September 1, 2007

Date Amendment #12 Submitted: March 18, 2009 Date Amendment #12 Approved: June 11, 2009 Date Amendment #12 Effective:

September 1, 2008

Date Amendment #13 Submitted: June 30, 2009 Date Amendment #13 Approved: June 30, 2010 Date Amendment #13 Effective:

April 1, 2009

Date Amendment #14 Submitted: July 6, 2009 Date Amendment #14 Approved: September 30, 2009 Date Amendment #14 Effective:

July 1, 2009

Date Amendment #15 Submitted: March 29, 2010 Date Amendment #15 Approved: July 16, 2010 Date Amendment #15 Effective:

April 1, 2009, and October 1, 2009 (for PPS)

Background

• New York’s Children’s Health Insurance Program (CHIP) State plan was approved April 1, 1998, and increased children’s health coverage by expanding the existing statewide Child Health Plus (CHPlus) program. CHPlus initially provided coverage for uninsured children under the age of 19 with net family income at or below 185 percent of the Federal poverty level (FPL). Effective April 1, 2000, New York expanded eligibility to children with gross family incomes at or below 250 percent of the FPL. New York has had approval to cover uninsured children with gross family incomes up to 400 percent of the FPL since June 11, 2009, effective as of September 1, 2008.

Amendments

• New York submitted its first amendment on March 27, 1998, to claim retroactive enhanced matching payments, effective October 1, 1997, through April 15, 1998, the effective date of the State’s approved program. This amendment was denied April 1, 1998, because the State’s program did not comply with the requirements of title XXI during that time period. The State submitted a reconsideration request for this amendment on May 26, 1998, which was later withdrawn.

• New York submitted its second amendment on March 30, 1999, establishing a CHIP Medicaid expansion program for children born before October 1, 1983, with net family income at or below 100 percent of the FPL, effective January 1, 1999. Eligibility in the separate child health program was expanded to include children with net family incomes at or