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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: Proposed to raise the personal needs allowance (PNA) for institutionalized individuals subject to post-eligibility requirements at 42 CFR 435.733. The PNA is increased for aged, blind and disabled individuals from $40 to $45 per month for an individual and from $80 to $90 per month for a couple; for AFDC-related adults and children from $40 to $45 per month, and for individuals eligible under 42 CFR 435.222 from $40 per month to N/A in accordance with changes made by the Affordable Care Act.
Summary: This amendment provides the State Fiscal Year (SFY) 2015 trend factor. This amendment also provides clarification to the hospitals in reference to the per diem rate computation, to the reimbursement for a facility that terminates and reenters the program, and to the publication used for trend indices.
Summary: This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.
Summary: Incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Missouri's Medicaid state plan in accordance with the Affordable Care Act.
Summary: Provides for the implementation of the federal law (Section 2702 of the Affordable Care Act of 2010) which prohibits the payment of identified provider-preventable conditions (PPCs).
Summary: Proposes to Provide Annual Assurance of the Pharmacy Program Adherence to the Requirements of Federal Regulations for the Time Period October 1, 2013 Through September 30, 2014.
Summary: Sets reasonable limitations under Section 1902(r)(1)(A)(ii) for costs which may be deducted from total income when determining client obligation through post-eligibility calculations.
