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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: 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: Adds language to allow coverage of a new preventive services benefit and clarifies language to more accurately allign the state plan with current Texas Medicaid policies.
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.
Summary: The purpose of this plan amendment is to update the reimbursement rates for tuberculosis (TB) clinics within the physician fee schedule and removes the reimbursement pages far TB clinics because they will be paid under the physician fee schedule.
Summary: The purpose of this plan amendment is to remove the eligibility requirements that (1) the newborn child of a mother who is a Medicaid recipient must continuously reside with the mother for one year after birth; and (2) that the mother remain eligible for Medicaid (or would remain eligible if still pregnant) in order for the child to receive Medicaid benefits for one year after birth. This change enables the state to comply with the amendment to section 1902(e)(4) of the Social Security Act due to CHIPRA of 2009.
