An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
Summary: It requires States to increase the resource exemption for individuals eligible as Qualified Medicare Beneficiaries Specified Low-income Medicare Beneficiaries and Qualified Individualsto three times the resource limits of the Supplemental Security Income program.
Summary: This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cease coverage of chiropractor services which was not funded as part of the 2010-2011 state budget process.
Summary: This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cover disposable diapers and incontinence supplies for Medicaid recipients ages 21 and over.
Summary: Provides full Medicaid coverage qualified alien children and pregnant women who are are fully residing in the U S but have either not met the 5 year waiting period or 5 year bar under Section 403 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 or are nonqualified aliens lawfully residing in the U S who are other otherwise eligible for such assistance.
