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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 is to provide 12 months continuous eligibility for children under the age of 19 in Medicaid, including children eligible with a Medically Needy spenddown.
Summary: Cover adult vaccine administration in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations, in compliance with guidance on mandatory vaccine coverage and administration for adults in alignment with ACIP.
Summary: This amendment is to temporarily limit otherwise covered benefits for adult beneficiaries for the period June 1, 2023 through September 30, 2023 in response to the territory’s federal funding shortfall.
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 temporarily extend the increased eligibility income limit at 180% of the SSI Federal Benefit Rate.
Summary: This SPA provides coverage for COVID-19 vaccines and vaccine administration, testing, and treatment in accordance with section 9811 of the American Rescue Plan (ARP).
Summary: To adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
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 increase rates for certain Home and Community-Based Services. This SPA increase rates for personal care services and behavioral health services by 70 percent for a temporary period ending March 31, 2023.
