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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 District is seeking to sustain requests approved in their Temporary Extension to the Medicaid Disaster Relief COVID-19 National Emergency SPA #23-0004, which expires on May 11, 2024, by adding its language to the permanent Housing Supportive Services (HSS) 1915(i) Home and Community-Based Services SPA. If approved, this SPA will permit the HSS program to continue to utilize the appropriate determination and redetermination tools to ensure that District residents secure and maintain permanent supportive housing and to allow expanded provider qualifications for case manager supervisors.
Summary: This SPA is making a technical correction to remove "Intensive In-Home Service" from the services list since this is not a service within this approved 1915 benefit.
Summary: This amendment is to renew Arkansas’ 1915(i) State Plan HCBS benefit with the following changes: 1) Update the line of authority for operating the state Plan benefit to the Medicaid operating agency, 2) Authorize telehealth visits for 1915(i)-eligibility re-evaluations, 3) Replace transition language with HCBS settings compliance language, 4) Add two new services: assertive community treatment and intensive in-home services, and 5) Rename mobile crisis intervention to crisis stabilization intervention.
Summary: This amendment is to renew Arkansas’ 1915(i) State Plan HCBS benefit with the following changes: 1) Remove the concurrent 1115 authority, 2) Authorize telehealth visits for 1915(i)-eligibility re-evaluations, and 3) Replace transition language with HCBS settings compliance language.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to modify the re-evaluation process for participants in the District's 1915(i) Housing Supportive Services program and allow for supplemental payments to direct care workers under section 9817 of the American Rescue Plan Act.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to adjust reassessment interview requirements.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend 1915(i) Housing Support Services, direct support worker supplemental payments, and 1915(i) Adult Day Health Program flexibilities.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to update housing supportive services provider qualification criteria, provide reimbursement for retroactive provider rate changes, to increase the personal needs allowance, and to waiver pharmacy signature requirements.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a desk review to help determine PASSE tier level assignment for clients until the end of the COVID PHE. The changes in this SPA pertain to a 1915 benefit that operates with a concurrent managed care authority.
