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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 amendment adds the following to the 1915(i) State Plan Home and Community-Based Services (HCBS) renewal: a median rate methodology for licensed/certified residentialservices; participant direction as an option for existing respite, skilled nursing, and nonmedical transportation services; and new community-based training and financial management services.
Summary: Restores comprehensive optional dental benefits for beneficiaries ages 21 and older, subject to medical necessity and utilization controls, that were not restored in May 2014
Summary: This amendment makes various changes to the Medi-Cal program's estate recovery program, including limiting estate recovery to probated estates for only federally-mandated services; adding a hardship waiver criterion for a "homestead of modest value;" eliminating recovery from surviving spouses and registered domestic partners; and updating the interest rate for voluntary liens.
Summary: Authorizes the Skilled Nursing Facility Quality and Accountability Supplemental Payment (QASP) System for the rate year beginning August 1, 2016.
Summary: Adds participant direction as an option for existing §1915(i) State Plan Home and Community-Based Services (HCBS) respite, skilled nursing, and non-medical transportation services, and establishes community-based training services and financial management services as new services in support of participant direction.
Summary: This SPA extends enhanced reimbursement rates for certain primary care physician services established under Section 1202 of the Affordable Care Act to the period of January 1, 2015 through June 30, 2016.
