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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: 4

Subsequent amendments to the original CHIP state plan (related to the Phase II program) were incorporated into the new state plan template, and are effective per their CMS-approved effective dates. The amendments to date are listed below:

-CHIP Method of Finance Change – Approved 12/13/01, Effective 9/1/2001 -CHIP Cost Sharing Changes- Approved 5/1/02, Effective 3/1/02 -CHIP Car Seat Initiative- Approved 11/25/02, Effective 6/15/02 -CHIP Community Health Worker Initiative – Approved May 5, 2003, Effective May 5, 2003. -CHIP Program Changes related to actions of the 78th Texas Legislature – Approved July 25, 2003, Effective September 1, 2003. -CHIP Program Changes related to Community Health Worker Initiative – Approved November 18, 2004, Effective August 1, 2004. -CHIP Restoration of Medical Benefits – Approved May 26, 2006, Effective September 1, 2005. -CHIP Cost Sharing Changes – Approved May 10, 2006, Effective January 1, 2006. -CHIP Restoration of Dental Benefits – Approved December 23, 2005, Effective April 1, 2006. -CHIP Program changes related to the time period for payment of cost sharing obligations – Pending, Effective August 1, 2006. -CHIP Program changes related to the CHIP Perinatal Program – Approved June 2, 2006, Effective September 1, 2006. -CHIP Program changes related to Applicant and Enrollee Protections – Pending, Effective May 1, 2007. -CHIP Program changes related to HB 109, 80th Legislature, Regular Session, 2007 – Pending, Effective September 1, 2007. -CHIP Program changes related to dental benefits – Effective September 1, 2007.