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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: Proposed Section 4- General Program Administration 4.44 Medicaid Prohibition on Payments to Institutions or entities located outside of the United States.
Summary: This SPA prohibits Medicaid payments to institutions and facilities located outside of the United States in accordance with Section 6505 of the Affordable Care Act.
Summary: Provides that medical assistance for Medicare cost sharing in protected from estate recovery for beneficiaries eligible under the Medicare Savings Program.
Summary: This SPA increases the resource standards for dual eligibles under the Medicare Savings Programs in accordance with Section 212 of the Medicare Improvements for Patients and Provider (MIPPA) of 2008.
Summary: This SPA provides for a more liberal resource disregard for Medicaid beneficiaries who are eligible under the special income level. The amount of the disregard is the benefits that are paid to or on behalf of an individual who is a beneficiary under a qualified long tenn care insurance policy.
Summary: This deemed newborn plan amendment eliminates the restriction that a newborn, to remain Medicaid eligible, must return home from the hospital to live with the mother.
