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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 SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the coverage of hospice services as directed by New Hampshire Chapter 166, Laws of 2009 (Senate Bill 42).
Summary: This amendment modifies DSH reimbursement to add new criteria for qualification and modify the distribution by changing to a District specific formula that uses only uncompensated care related to District residents. This amendment also prescribes certain data reporting requirements for DSH facilities.
Summary: This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cease coverage of chiropractor services which was not funded as part of the 2010-2011 state budget process.
Summary: This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cover disposable diapers and incontinence supplies for Medicaid recipients ages 21 and over.
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.
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.
