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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 SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cease coverage of chiropractor services which was not funded as part of the 2010-2011 state budget process.
Summary: This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cover disposable diapers and incontinence supplies for Medicaid recipients ages 21 and over.
Summary: This amendment provides for trend factors, revises the utilization adjustment for all hospitals except for safety net hospitals and children's hospitals, clarifies disproportionate share hospital (DSH) calculation to allow for payment up to 100% of DSH allotment, and defines the DSH cap.
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.
Summary: This amendment provides for the inclusion of the ICF/MR CPE Protocol in Missouris Medicaid State Plan, as requested by the Centers for Medicare and Medicaid Services.
Summary: This SPA proposed to use the authority of $1902(r)(2) and 5 193 1 of the Social Security Act (the Act) to disregard, for certain Medicaid eligibility groups, all wages paid by the U.S. Census Bureau for temporary employment related to decennial activities.
