An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: This clarifies that the licensed clinicians for the service of peer support do not have to be certified as peer support workers in order to supervise the service. This also excludes the current language about billing, as billing information is not needed in the SPA.
Summary: This modifies coverage and reimbursement for Psychiatric Residential Treatment Facility (PRTF) leave days. Leave days will be reimbursed at 50 percent of the PRTF per diem rate for a maximum of 5 days per treatment episode for medical leave and l0 days per treatment episode for therapeutic leave.
Summary: Expands Health Homes into 8 additional counties with 7 providers. Will pilot a high fidelity wraparound model with 2 providers for children/adolescents. One provider will be first Tribal Health Home.
Summary: Implements a change in the state's cost effectiveness formula for its premium assistance program and to expand the state's premium assistance program to include individual health insurance.
Summary: Implementation of NJ Family Care 1115 Demonstration Waiver as it pertains to guardian commission associated with personal needs allowance in the post eligibility treatment of income.
Summary: Nebraska will join a Consortium to develop an AVS and will enter into a contract with the New England States Consortium System Organization to meet the federal requirements in implementing an AVS, using a contractor to provide data to assist in verifying asset information for all individuals who have SSI-related eligibility.
