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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: Elects to Cover New Adult Group - Non-Pregnant Individuals Ages 19-64, not Otherwise Mandorily Eligible, with Income at or Below 133 Percent of Federal Poverty Level.
Summary: Proposes to eliminate GME payments to out-of-state hospitals and change the reimbursement methodology for non-emergent ER visits with the proposed effective date of September 1, 2011.
Summary: Disregard all income for the following reasonable classifications children under the age of 21, placed in licensed foster care, for whom the state pays non-IV-E foster care maintenance payments andchildren under age 21 with non-IV-E adoption assistance agreements with Iowa or with a state with which Iowa has a reciprocity agreement.
Summary: ontinues to provide coverage of children in the State Medicaid program, for 12 months if they would have lost Medicaid eligibility due to elimination of income due to disregards under the Modified Adjusted Gross Income methodologies.
