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: Updates the general language and provider qualifications including requirements that all providers be certified by Virginia's Department of Behavioral Health and Developmental Services (DBHDS) as an intellectual disability case management agency.
Summary: Adds requirements for accepting, managing, and completing requests for community-based and nursing facilities and using the electronic Preadmission Screening System.
Summary: This SPA adds the payment category of aged, blind, disabled in approved supportive housing with an income level of 300% of the Supplemental Security Income (SSI) payment limit.
Summary: Reduces the budget adjustment factor used in setting nursing home rates andadds a provision the limits rates from dropping below the last rate paid in SFY 2012.
Summary: This SPA proposes to permit individuals to use certified appraisals conducted by appraisers licensed by the Virginia Real Estate Appraiser Board as an alternative to the use of the tax assessed value to establish the value of any non-commercial real property for purposes of Medicaid resource eligibility.
Summary: Removes the requirement that PACE programs provide services through a coordination site that is licensed as an Adult Day Health Center by the Virginia Department of Social Services.
Summary: Removes specific geographic references as the state will phase in additional counties in accordance with Section 1945 of the Act and state specific criteria.
Summary: Children with SED will qualify for health home services whereas SED will be defined to include serious emotional disturbance, co-occurring developmental disability and mental illness, co-occurring mental health and substance abuse, or developmental Disability eligible (per NJ Statute 10:196) with symptomology of SED.
