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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: Provides evidence of the State's process of informing and seeking input from all federally recognized Native American Tribes and Indian Health Programs within the State of Nebraska regarding the Tribal consultation process and required timeframes, as well as discussing any possible impact proposed SPAs might have on the Tribes.
Summary: Makes technical corrections to the amendment originally approved with Transmittal #98-05 to correctly place and accurately reflect the financial criteria applicable for poverty level pregnant women.
Summary: This SPA related to Psychiatric Residential Rehabilitation Services which proposes to assist severely psychiatrically impaired individuals live in a more community-based setting where they can achieve a level of success in the least restrictive level of care.
Summary: Revises cost-sharing provision which apply premiums to certain children eligible under Nebraska's Autism Home and Community Based Services Waiver.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically, the amendment will update the base year cost reports used to determine DSH eligibility and DSH payments, update the market basket index used to increase provider rates, and increase hospital payment rates.
