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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: Technical correction only to the effective date of SPA 14-003. Nebraska had initially requested an effective date of July 1, 2014 and the effective date should be November 1, 2014.
Summary: Incorporate the requirements of Nebraska Legislative Bill (LB) 1076 which introduces coverage for telemonitoring and asynchronous services into the current SPA.
Summary: This state plan amends the coverage language regarding Medicaid or other remedial care provided by licensed practitioners to include Dietitians. Additionally, it clarifies payment methodology for various practitioner services to meet standards for comprehensiveness.
Summary: This SPA adds Sickle Cell disease management services as a coverage service under the preventive services benefit and adds a reimbursement for those services.
Summary: This amendment modifies the Plan to remove references to an obsolete contracting process for setting reimbursement rates for specialized nursing facility services.
Summary: The purpose of this new amendment was to align the Reasonably Predictable Changes in income selections on the S10 plan page to what the state entered on their Federally Facilitated Marketplace (FFM) data collection tool.
