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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 state plan amendment outlines the alternative benefit plans for Healthy Indiana Plan Basic and adds enhanced substance use disorder benefits.
Summary: Implementation of NJ Family Care 1115 Demonstration Waiver as it pertains to guardian commission associated with personal needs allowance in the post eligibility treatment of income.
Summary: This state plan amendment allows for the utilization of non-emergency medical transportation (NEMT) broker for the fee-for-service population effective January 1, 2018. The NEMT broker will receive a capitated monthly all-inclusive rate to service all fee for service members. The amendment also allows for the reimbursement of meals and lodging.
Summary: Modifies the Reimbursement methodology for psychiatric residential treatment facilities from a single state-wide per diem rate to facility-specific per diem rates.
Summary: This SPA provides additional clarity regarding the settings requirements that will result in all sites providing CMHW services to come into compliance with federal HCBSregulations.
Summary: This SPA removes the requirements for Home Health Agency providers to complete cost reports. Additionally, language was changed to bring the State Plan into compliance with 42 CFR 440.70 by not restricting HHA Services to only members who are homebound.
