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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: Establish professional rates for services provided to beneficiaries who are identified by the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as developmentally disabled and will be reimbursed at distinct rates. Rates will differ based on whether the service is delivered in a community setting or in an office or via telehealth.
Summary: This amendment proposes to memorialize the new income standards for its optional state supplement program and increase its medically needy income level.
Summary: This amendment is to eliminate the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Alternative Benefit Plan (ABP).
Summary: This amendment proposed to adopt the eligibility group authorized by the Ticket to Work Incentives Improvement Act that serves working individuals who have disabilities.
Summary: This amendment proposes to implement premiums for working adults who have disabilities as authorized by the Ticket to Work and Work Incentives Improvement Act.
Summary: This amendment complies with the federal requirement that the state implement a tracking system that ensures that cost sharing and premiums of a Medicaid beneficiary will not exceed five percent of the family income.
Summary: This amendment eliminates the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Iowa Dental Wellness Plan.
Summary: This amendment proposes to make services provided by certified school psychologists eligible for Medicaid reimbursement as directed by the Rhode Island legislature.
Summary: This plan amendment is an enhanced fee schedule (dental) provided in Iowa non-state-own dentistry clinics located in county with a population over 350,000.
