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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: Eliminates payment for three surgical errors known as "never events", eliminates payment for certain hospital acquired conditions identified as non-payable by Medicare and adds Anesthesiologiest Assistants as compensable provider type effective on or after February 1, 2010.
Summary: Implements Section 1915j authority for self directed personal assistance services to transition Medi Cal beneficiaries currently receiving services through the In-Home Supportive Services Plus Section 1115 Demonstration project which expires on September 30, 2009.
Summary: Implements a new coverage group for individuals who would otherwise qualify for Medi-Cal benefits as Disabled Widows, Widowers or Early Disabled Widows, Widowers through the use of more liberal income disregards under Section 1902 r 2 of the Social Security Act.
Summary: Implements a new coverage group for individuals who would otherwise qualify for Medi Cal benefits as Childhood Disability Beneficiaries through the use of more liberal income disregards under Section 1902 r 2 of the Social Security Act.
Summary: Implements a new coverage group for individuals who would otherwise qualify for Medi-Cal benefits under the Pickle Amendment through the use of more liberal income disregards under Section 1902 r 2.
