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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 State Plan Amendment addresses the new requirements regarding Estate Recovery under section 1917(b)(1) of the Social Security Act by encouraging dual eligible beneficiaries to fully utilize Medicare cost-sharing benefits available through the Medicare Savings Program.
Summary: This SPA transmitted an amendment to your approved Title XIX State plan to assure comparability amount, scope and duration of services made available to categorically and medically needy populations in the State plan. This amendment clarifies that all services provided for medically needy groups are identical in amount, duration, and scope as those for categorically needy groups.
Summary: This amendment updates the Developmentally Disabled target group language to align with Federal regulations and allows the provision oftargeted case management services to beneficiaries of the Developmentally Disabled target group who reside in facilities designated as Intermediate Care Facilities Mentally Retarded.