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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: Conforming the existing Virginia Medicaid Works ABP to the requirements of the Affordable Care Act by adding to the package Essential Health Benefits that were not previously provided.
Summary: Proposes to allow federal qualified health centers (FQHCs) and rural health clinics (RHCs) to be reimbursed under an alternate payment methodology for Long Acting Reversible Contraceptives (LARCs) and non-surgical, transcervical permanent female contraceptive devices.
Summary: This SPA proposes to disregard all resources for individuals otherwise eligible under section § 1902( a)( 1 O)(A)(ii)(V) who meet the definition of the group described under the reasonable classification of the following individuals: Individuals under the age of 18, or 19 if the individual is anticipated to graduate from high school by his or her 19th birthday.
Summary: This SPA proposes to amend Eligibility Groups - Mandatory Coverage Former Foster Care Children S33 to cover children who were in foster care and on Medicaid in any State at the time they turned 18, or aged out of the foster care system.
Summary: This SPA increases the maximum allowable gross annual earnings to $75,000 for participants in the Medicaid Buy-in-(MBI) program, Medicaid Works.
Summary: Allows out of state trauma centers to be eligible for Trauma Center Adjustments; limits the Medicaid Percentage Adjustment payment $155 per day for a children's hospital and $215 for all other hospitals other than those hospitals organized under the University of Illinois Act; limits Direct Hospital Adjustment payments to $69 per day for Illinois teaching hospitals with 25 or more graduate medical programs that are affiliated with a Regional Alzheimer's Disease Assistance Center designated by the Alzheimer's Disease Assistance Act, that has an MIUR less than 25% on July 1, 1999, and provided 75 or more Alzheimer days for patients diagnosis as having the disease.
