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Medicaid State Plan Amendments
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 permits the State to disregard all wages paid by the Census Bureau for temporary employment related to Census activities. In addition, this amendment permits the State to cover, as an optional group other than the Medically Needy, individuals who would be eligible for AFDC, SSI, or an optional State supplement as specified in 42 CFR 435.230, if they were not in a medical institution.
Summary: This SPA permits the State to disregard resources in an amount equal to the insurance benefit payments made to or on behalf of an individual-who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act of 2005.
Summary: Bringing State Plan into compliance relating to setting administration and general reimbursement to a price; removing 8% per year limitation on the growth of health care costs; adding payments for cognitive loss/dementia and ABI, Level II PASRR residents, quality performance and authority to charge and collect a provider fee.
Summary: To bring the State in compliance with what they were actually doing. On August 1, 2008 North Carolina reduced the annual visit limit from 24 to 22 visits (visits are authorized beyond 22 when medically necessary).