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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: Clarify when a Medicaid payment is made for medical care or expenses on behalf of a member because of medical malpractice, the department shall have a lien, to the extent of those payments, to all monetary claims which the member may have against third parties. This amendment applies to injuries sustained on or after July 1, 2011.
Summary: Required due to a premium scale adjustment per 441 IAC 75.1(39). The maximum preium amount is based on avg. state employee health insurance premium, & that amount increased. Therefore, premiums for MEPD have increased.
Summary: This SPA transmitted a proposed amendment to Rhode Island's approved Title XIX State plan to increase the Federal poverty guidelines (FPGs) for various poverty level groups to reflect the increase in the FPGs as published in the Federal Register (FR) on January 20, 2011.
Summary: Proposed amendment to your Department's approved Title XIX State plan concerning an eligibility determination system that provides for data matching through the Public Assistance Reporting Information System (PARIS) project or any successor system. Section 1903(r) of the Social Security Act as amended by §3 of the Qualifying Individual Program Supplemental Funding Act of 2008. Public Law 110-379. Requires that States have eligibility determination systems that provide for data matching through the PARIS project or any successor system.
Summary: This SPA implements Section 1902(a)(80) of the Social Security Act and Section 6505 of the Affordable Care Act P.L. 111-148 barring payments for services or items provided under the state plan or a waiver to a financial institution or entity outside of the United States.
Summary: To indicate that Iowa has implemented a system that provides for data matching through the Public Assistance Reporting Information system (PARIS), including matching with medical assistance programs of other states.
