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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 incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Hawaii's approved Medicaid State Plan in accordance with the Affordable Care Act.
Summary: Removes barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the Affordable Care Act.
Summary: To continue the suspension of the annual inflation factor to inpatient hospital and nursing facility rates for the 4th quarter of FFY 2013, FFS 2014 and the 1st, 2nd and 3rd quarters of FFY 2015.
Summary: Reflects Changes in Pharmacy Coverage Required by Section 175 of the Medicare Improvement for Patients and Providers Act of 2008 to Include Barbiturates "Used in the Treatment of Epilepsy, Cancer, or Chronic Mental Health Disorder" and Benzodiazepines in Part D Drug Coverage.
Summary: Aligns Coverage of preventive services under the Medicaid State Plan with preventive services in Hawaii's approved ABP and allows for coverage of these services without cost sharing.
Summary: The amendment is required by 42 C.F.R. 433.206(h) to allow the State to claim an increased federal medical assistance percentage for enrollees in the adult group.
Summary: Expands eligibility for children under the age of 19 years who would otherwise lose eligibility due to the elimination of income disregards under modified adjusted gross income based methodologies.
