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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: The proposed amendment updates five State Plan Amendment pages to reflect the new resource limit for Medicare Savings Plans, as amended by MIPP A section 112. The proposed amendment addresses MIPPA section 115 by exempting Medicare cost sharing from Medicaid estate recovery for six categories of dual eligibles with dates of service on or after January 1, 2010.
Summary: Enclosed is Ohios state plan amendment TN08-006 that contains new outlier services language proposed for adoption under Attachment 3. I A of Ohios state plan. This amendment also requests removal of existing sections contained under Attachment 4. l 9D, and removal of obsolete sections 5101 :3-3-54.l and 5101 :3-3-54.5 from Attachment 3. lA.
Summary: This amendment elects the Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 option in Section 214 to lift the five year bar ban on eligibility and provide full Medicaid coverage to all otherwise eligible alien children or pregnant women lawfully residing in the District of Columbia.
Summary: This amendment sets forth the provisions of Ohios Amended Substitute House Bill I regarding the correction period for Minimum Data Set version 2.0 (MDS 2.0) submissions from Nursing Facilities (NFs) set forth under Supplement I of Attachment 4.19D of the state plan. This amendment also deletes obsolete sections 5101:3-3-541 and 5101: 3-3-545 from Attachment 3.1A. Supplement 3.
Summary: Supplemental inpatient hospital upper limit payments for public hospitals, Supplemental impatient hospital upper limit payments for state hospitals.