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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 proposes to memorialize the new income standards for its optional state supplement program and increase its medically needy income level.
Summary: This amendment proposed to adopt the eligibility group authorized by the Ticket to Work Incentives Improvement Act that serves working individuals who have disabilities.
Summary: This amendment proposes to implement premiums for working adults who have disabilities as authorized by the Ticket to Work and Work Incentives Improvement Act.
Summary: The purpose of this amendment is to assure that the State is in compliance with Section 202 of the Consolidated Appropriations Act 2022, as requested by the Centers for Medicare & Medicaid Services.
Summary: This amendment proposes to make services provided by certified school psychologists eligible for Medicaid reimbursement as directed by the Rhode Island legislature.
Summary: This amendment proposes to provide coverage of all approved vaccines recommended by the Advisory Committee on Immunization Practices and vaccine administration when furnished by a qualified provider.
Summary: On September 20, 2023, CMS received Rhode Island State Amendment RI-23-0010 for CEDAR Health Homes. EOHHS is seeking approval from CMS to update Rhode Island’s Medicaid State Plan to implement a change in the rate methodology for Cedar Family Centers.
