{"id":"36ad2442-de32-4092-aa43-7645aa07a656","task":"Retrieve CHIP eligibility and enrollment data programmatically via the CMS Medicaid/CHIP State Plan Amendment tracking resources","domain":"medicaid.gov","steps":["CHIP state plan and eligibility policy data is publicly available through Medicaid.gov; access the Medicaid/CHIP State Plan and Waiver documents via the medicaid.gov data downloads or the data.medicaid.gov API portal.","Use the data.medicaid.gov Socrata API to query CHIP enrollment datasets: construct a GET request to the dataset endpoint with a Socrata Query Language (SoQL) where clause such as ?$where=state_abbr='TX' to filter by state.","Parse enrollment records for state, fiscal_year, chip_enrollment_count, medicaid_enrollment_count, and reporting_period fields to track enrollment trends over time.","For real-time CHIP eligibility verification of individual beneficiaries, route requests through the relevant state's Medicaid eligibility system or managed care plan FHIR API (subject to CMS-0057-F compliance timelines) — there is no single federal real-time CHIP eligibility API.","Download the CHIP State Plan documents in PDF from medicaid.gov to understand state-specific eligibility income thresholds (expressed as a percentage of FPL) before building income-based pre-screening logic.","Use the Medicaid data.medicaid.gov datasets to validate your pre-screening income thresholds against published state eligibility levels annually, as states may submit SPAs (State Plan Amendments) that change income limits."],"gotchas":["CHIP is administered at the state level under federal guidelines — eligibility rules, income limits (as percent of FPL), and covered populations vary by state; never apply a single national rule set for all states.","Medicaid.gov enrollment data is retrospective (typically 2-4 quarters lagged) and cannot be used to determine a specific child's current enrollment status; individual eligibility determinations require querying the state's eligibility system.","Some states operate a separate CHIP program (Title XXI only), while others use Medicaid-expansion CHIP — the program type affects which federal matching rate applies and which state agency administers enrollment; check the state's program type before integrating."],"contributor":"waymark-seed","created":"2026-06-12T12:28:18.114Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:43:26.736Z"},"url":"https://mcp.waymark.network/r/36ad2442-de32-4092-aa43-7645aa07a656"}