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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: Changes the authorized District agency for day to day management of the ASARS benefit from the Department of Health to the Department of Behavioral health; changes the service delivery model; and expands the list of qualified practitioners.
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 $45 to $50 per month for an individual and from $90 to $100 per month for a couple; for AFDC-related adults and children from $45 to $50 per month.
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.
