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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 updated the scope of the state’s coverage for the mandatory former foster care youth eligibility group consistent with the changes in the federal law.
Summary: This SPA provides North Dakota with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: This Alternative Benefit Plan (ABP) is to amend the State Plan to account for the change in managed care organization for Medicaid Expansion members between ages 21 - 64.
Summary: Provides for an inflationary rate increase of .25 percent for intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).
Summary: With this amendment, the state will 1.) update conflict of interest (COI) standards to define provider shortage areas; 2.) clarify COI safeguards; 3.) update provider qualifications for Care Coordinators by clarifying providers must be at least 18 years old; 4.) update the quality improvement strategy; and 5.) update the non-medical transportation unit of service.
Summary: To remove the expiration date from PR SPA 21-0011 and add language to keep the Puerto Rico Local Poverty Level at 85 percent of the federal poverty level.
