Leveraging CHIP to Improve Children’s Health: An Overview of State Health Services Initiatives

Through the Children’s Health Insurance Program (CHIP), states can develop Health Services Initiatives (HSIs) to improve the health of low-income children and youth. While HSIs can serve children of all incomes, they must be designed to directly improve the health of children under age 19 who are eligible for CHIP and/or Medicaid.

Note: Information about states’ HSIs comes from CHIP SPAs and from CHIP Annual Report Template System (CARTS) reports. Data from CARTS reports is from 2018 reports unless otherwise noted. This chart may not include all CMS-approved SPAs for HSIs, nor does it capture HSIs that are awaiting CMS approval, but it includes most states’ approved initiatives as of January 2019.


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