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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 revises the reimbursement methodology for nursing facilities to indicate that rates effective September 1 2014 will be equal to rates in effect August 31 2013 plus a six percent rate increase.
Summary: This state plan amendment provides the requirements for establishing residency in a state for Medicaid eligibility in accordance with the Patient Protections and Affordable Care Act (PPACA).
Summary: Updates Medicaid State Plan to Provide State Statutory Citation, Certification, and Description of Legal Authority Under Which the Single State Agency, the Texas Health and Human Services Commission (HHSC) Administers the Health Plan.
Summary: Updates the Medicaid state plan to provide state statutory citation, certification and description of the legal authority under which the Single State Agency, the Texas Health and Human Services Commission (HHSC) administers the Medicaid state plan.
Summary: Establishes that the Texas Health and Human Services Commission (HHSC) will determine financial eligibility for most Medicaid programs using the new federal income rules.
Summary: This state plan amendment establishes that the State is using federally required modified adjusted gross income (MAGI) methodology for determining Medicaid eligibility criteria for children, parents and caretakers, pregnant women, and individuals under age 21 who were formerly under Texas conservatorship.