Child Health Plan Plus Prenatal Waiver

Medicaid and Children's Health Insurance Program (CHIP) Section 1115 waivers allow states to test new approaches to administering Medicaid and CHIP programs beyond what is required by federal statute. These waivers give states flexibility to design and improve their programs to better serve Medicaid and CHIP populations through experimental, pilot, or demonstration projects.

Colorado's Adult Prenatal Coverage in Child Health Plan Plus (CHP+) demonstration helps provide necessary prenatal, delivery, and postpartum care to low-income pregnant women with incomes above 141% through 195% Federal Poverty Level.

The State of Colorado submitted an application in 2020 to extend its Adult Prenatal Coverage in CHP+ section 1115 demonstration for another five years.

• Adult Prenatal Coverage in CHP+ Section 1115 Demonstration Documents

Links to the Federal records are listed below:

• CMS Demonstration Website
• CMS Waiver List‚ Colorado Adult Prenatal Coverage and Premium Assistance CHP+
• Federal Comment Period

5 Year Waiver Demonstration Extension Approved for Colorado's Title XXI 1115 Demonstration

Colorado's Title XXI Section 1115 waiver, Adult Prenatal Coverage in Child Health Plan Plus (CHP+), was most recently renewed to be effective from December 21, 2020 through 2025. The demonstration expanded the income eligibility for uninsured pregnant Medicaid expansion clients who would have been covered under CHP+ if not for the federal poverty level (FPL) expansion of 141% to 195%. The state has targeted this population to achieve three key objectives:

1. Decrease the uninsured rate for pregnant women,
2. Increase prenatal and postpartum care for pregnant women enrolled in the demonstration, and,
3. Increase the number of healthy babies born to pregnant women enrolled in the demonstration.

On June 16, 2021, The Colorado Department of Health Care Policy and Financing presented on the demonstration's progress, and future evaluation design at the monthly Accountable Care Collaborative Program Improvement Advisory Committee meeting. The 2020-2025 Evaluation Design is posted below: