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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: Authorizes the provision of family planning and family planning-related services, pharmaceuticals and supplies to men and women of any age, who are not otherwise eligible for Medical Assistance and who are not pregnant and have income at or below 215 percent of the Federal Poverty Limit.
Summary: Adds provisions of Medicaid coverage to Pregnant Women, Children Under Age 19, Parents/ Caretaker Relatives, Adult Group, and Former Foster Children when determined presumptively eligible by a qualified entity.
Summary: "Individuals Eligible for Family Planning Services," the State elects to cover individuals who are not pregnant, and have household income at or below a standard established by the State, whose coverage is limited to family planning and related services and in accordance with provisions described at 42 CFR 435.214.