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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 amedment changes the resource limit for Qualified Medicare Beneficiaries (QMB), Specified LowIncome Medicare Beneficiaries (SLMB) and Qualifying Individuals (QI) to conform to the resource limit for individuals who qualify for the full subsidy Medicare Part D LIS as required by section 112 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).
Summary: This amendment allows the State to decrease the reimbursement paid for physician services under the Medicaid fee schedule to 60 percent of the 2006 Medicare fee schedule.
Summary: Proposed amendment to your approved Title XIX State plan to elect the option in §214 of the Children's Health Insurance Program Reauthorization Act of 2009, Public Law No. 111-3. This option allows State to provide full Medicaid coverage to otherwise eligible alien children or pregnant women lawfully residing in the United States.
Summary: This amendment revises the methodology for making disproportionate share hospital (DSH) payments. Specifically it updates the base year for determining the DSH cost from hospital fiscal year 2006 to hospital fiscal year 2007. In addition, it revises the payment limits for existing DSH pools.
