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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: Discontinues waiting list coordination services for MD Medical Assistance recipients who meet the criteria to be eligible for DDA state supports services only but do not meet all the criteria for "developmental disability," as defined in MD Annotated Code, Health-General Article section 7-403(c). Additionally, establishes a different methodology for service unit preauthorization without increasing federal fiscal impact.
Summary: Makes an increment to the personal needs allowance for individuals subject to court-ordered guardianships to permit payment of a montyly fee of $50.00 to a guardian of the poerson and/or a monthly fee of $50.00 to a guardian of the property.
Summary: This amendment adds the CHIP eligibility and enrollment administrative contractor as an entity to make presumptive eligibility determinations for the CHIP program in Tennessee.
Summary: Requests a 12 month eligibility period for families under Transitional Medical Assistance in accordance with Section 1925 of the Social Security Act.
