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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 allows Alternative Benefit Plan (ABP) coverage of a primary care case management program (PCCM) for pregnant individuals and of adult vaccinations and their administration without cost sharing in order to align with the South Dakota State Plan.
Summary: Aligns Michigan’s Alternative Benefit Plan with the changes to prior authorization requirements for non-routine therapy services provided to beneficiaries residing in nursing facilities approved in the traditional Medicaid State Plan under MI-22-0017.
Summary: Proposes to update the effective date for the SPA that establishes the Alternative Benefit Plan MI uses to implement requirements of the Healthy Michigan Plan.
Summary: To provide authority to the state to cover and to reimburse for doula services for eligible Michigan Medicaid beneficiaries under the Alternative Benefit Plan.
Summary: Aligns Michigan’s Alternative Benefit Plan with provisions in the traditional Medicaid State Plan, approved under MI-22-0018, for coverage and payment for targeted case management for recently incarcerated individuals age 18 and older with a chronic or complex physical or behavioral health need.
