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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: This SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association , Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the desc_ripti ons of several other services.
Summary: This plan amendment recognizes Licensed Birth Centers as providers in the New Mexico Medicaid Program for reimbursement, but does not include any payment for room and board.
Summary: This SPA revises the approved Title XIX State plan to add the newly distinguished provider type of Limited Services Clinics to the clinic services section of the state plan.
Summary: Revises the State Plan to continue targeted case management benefits provided by the Department of Youth Services through a child's 22nd birthday.
Summary: Adds coverage for services provided by a licensed applied behavioral analyst or assistant applied behavioral analyst to children under age 21.
Summary: Provides coordinated care under State Plan authority for individuals with the chronic conditions of Serious Mental Illness and Severe Emotional Disturbance.
Summary: Covers children who were in foster care and on Medicaid in any state at the time they turned 18 or aged out of the foster care system providing they are under age 26.