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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: The purpose of this SPA is to update information regarding the staffing of Private Duty Nursing; specifically, the addition of Certified Nursing Assistants and Home Health Aides.
Summary: This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CFR 435.119.
Summary: Updates Residency Language in the State Plan and Provides Medicaid to Otherwise Eligible Residents of the State, Including Residents Who Are Absent from the State Under Certain Conditions.
Summary: Updates Residency Language and Provides Medicaid to otherwise eligible residents of the state, including residents who are absent from the state under certain conditions.
Summary: Incorporates Citizenship Regulations, Specifies Reasonable Opportunity Period Options, and Specifies Policy Options Related to Eligible Non-Citizens.
