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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: Clarifies language for existing benefits, specifically as they relate to those under the age of 21. The amendment will align the Alternative Benefits Plan (ABP) with the changes to traditional Medicaid.
Summary: This amendment updates the recipient and provider qualifications for Target Case Management (TCM) for individuals with a behavioral health condition.
Summary: This SPA updates the licensed practitioner benefit to allow school-based providers with Department of Education endorsement and a current licensure to include school counselors, school social workers, and school psychologists to provide services to school-aged Medicaid recipients.
Summary: This amendment will add back into the plan the language for Community Health Workers (CHWs) erroneously left off the NV-23-0016 SPA approval, which adds CHWs as providers under the preventive services benefit.
Summary: This amendment is to update the plan to broaden coverage of nursing services in schools by removing the requirement that nursing services be listed in an to Individualized Education Program (IEP), as well as amend the tobacco cessation counseling services to include that these services must be provided by a licensed practitioner.
Summary: This amendment is the addition of a licensed behavior analysts, licensed assistant behavior analysts and registered behavior technicians within their scope of practice according to state law.
Summary: This amendment is to extend coverage of pregnancy-related services, including extended pregnancy-related services from 60 days to 12 months because of the passage of Senate bill 232 during the 82^nd^ Legislative session (2023) and is consistent with Nevada’s extension of the postpartum eligibility period to 12 months.
