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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 amendment permits an exception to estate recovery provisions with respect to individuals who receive benefits under LTC insurance policies sold under the Partnership program.
Summary: This SPA adds to the State plan, under diagnostic services, an environmental home lead investigation for children with high blood lead levels.
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 proposes to add Employed Individuals with Disabilities into the State plan under the eligibility groups authorized under section 1902( a)(1 O)(A)(ii)(XV) of the Social Security Act.
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.
