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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 State Plan Amendment implements a disregard from resources and income in regard to the UT Educational Savings Plan and eligibility determinations for certain groups.
Summary: This SPA was submitted to add Community First Choice pursuant to Section I 9 I 5(k) of the Social Security Act to the ABP (corresponding to approved SPA 15-012).
Summary: Revises the standard ABP To amend Gender Dysphoria services (corresponding to approved SPA 15-007) and Autism Spectum Disorder services (corresponding to appred SPA 15-004).
Summary: Increases the unearned income disregard in the optional State supplementary payment program by an amount equal to the SSI cost of living increase for 2017 implemented by the Social Security Administration.
Summary: This amendment makes legislative revisions to the state's diagnosis-related group (DRG) reimbursement methodology for inpatient services, which was initially implemented in 2015.
Summary: This State Plan Amendment corrects the State Funds amount on the page because the original amount erroneously reflected the Total Funds amount.