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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 proposes to implement presumptive eligibility conducted by hospitals in the Medicaid state plan in accordance with the Affordable Care Act.
Summary: Updates Medicaid Estate Recoveries to conform to MIPPA Section 15 and ARRA Section 5006(c) primarily to exclude the Medicaid Expansion population from Estate Recovery.
Summary: This SPA defines the family size under MAGI methodology as counting a pregnant woman as one person when determining the family size of other individuals in the pregnant woman's household.
Summary: This SPA will allow the state to use MAGI-based income methodologies for determining medically needy eligibility for pregnant women, children and caretaker relatives.
Summary: This SPA increases the monthly income standards for Domiciliary Care to reflect the 1.7% SSI Cost of Living Adjustment increase from the Social Security Administration.
