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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: FMAP This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable to the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.
Summary: ontinues to provide coverage of children in the State Medicaid program, for 12 months if they would have lost Medicaid eligibility due to elimination of income due to disregards under the Modified Adjusted Gross Income methodologies.
Summary: Revises the National Medicaid Pooling Initiative (NMPI) Supplemental Rebate Agreement (SRA) previously submitted to CMS on March 20, 2008 to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.
Summary: Adjusts the fees paid for selected services provided by certain primary care physicians and for vaccine administration under the Vaccines for Children Program to equate to 100% of Medicare rates for calendar years 2013 and 2014.
Summary: Increases the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.
