In Iowa, CHIP is called Hawki (Healthy and Well Kids in Iowa). Hawki follows a State Plan, similar to Medicaid, that explains how the program is run. This plan shows the federal government that Iowa follows the rules and qualifies for federal funding.
The plan outlines who is covered, what services are offered, how providers are paid, and other requirements the state must meet.
Iowa often sends updates to this plan—called State Plan Amendments (SPAs)—to the Centers for Medicare & Medicaid Services (CMS) for approval. These updates may be needed to follow new laws or rules, respond to court orders, fix mistakes, or make other approved changes.
