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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: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to Modify end date of premiums suspension for Hawki and Medicaid for Employed People with Disabilities (MEPD) enrollees effective January 1, 2024.
Summary: This SPA adds mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to Address premiums and cost-sharing requirements upon the end of the national COVID-19 public health emergency (PHE). Iowa will continue to suspend all co-payments and premiums for all Medicaid enrollees until June 1, 2024.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. This amendment temporarily extends the waiver of the requirement for Registered Behavior Technicians to have a credential if they have completed all training but are unable to test due to COVID-19 related test center closure or COVID-19 related delays, which was originally approved in Disaster Relief SPA 20-0021.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to allow flexibilities under 1915(i) to allow for coordination with the 1915(c) flexibilities.
Summary: The purpose of this SPA is to assure coverage of COVID-19 treatment, including specialized equipment and therapies (including preventive therapies).
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind the flexibility to deliver PCS not in accordance with the service plan.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is end Nursing Facility COVID Relief Rate (NF CRR) Payments to Medicaid enrolled nursing facilities.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to modify the Personal Care and Personal Care assistance from the previously approved flexibilities in MO 20-0012. The modifications are to face to face visits, telephone signatures and training requirements.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to modify the definition of home-based habilitation to include health and safety supports and services required to maintain a member’s involvement in online education or e-learning, specifically for members ages 17-21 residing outside of the family home. In addition, the SPA seeks approval for retainer payments made in April 2020 to providers of 1915(i) state plan home and community based (HCBS) habilitation services including day habilitation, prevocational services, and supported employment.
