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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 implements the Medicare Improvements for Patients and Providers Act (MIPPA) provisions with regard to the Medicare Saving Program Resource Limits.
Summary: To implement the required Asset Verification System for the purpose of determining eligibility for aged, blind and disabled Medicaid applicants and recipients in accordance with 1940 of the Social Security Act.
Summary: This amendment limits eyeglass frames for adults twenty-one (21) years of age and older to one pair every two years and lenses to one pair every three hundred and sixty five days.
Summary: This amendment define Georgia's managed care program by adding refugees as an eligible group; increasing the time frame for recipients to choose a health plan from fifteen to thirty days; and by incorporating quality and cost weighted scoring within the auto-assignment algorithm.
Summary: The State requests approval of this amendment to provide for administration of the H1N1 influenza vaccine by licensed practitioners to adults, age twenty-one and over.
Summary: To comply with the requirement of section 1903 (v)(4)(A) of the Social Security Act, this State Plan Amendment covers pregnant women and children under the age of 21 who are lawfully residing in the United States.
