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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: 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: 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: Clarifies the existing Disproportionate Share Hospital (DSH) payment within the state plaan confirming the annual Federal DSH allotment will bee fully expended each year.
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: To terminate Kansas' Home Health program authorized under section 2703 of the Patient Protection and Affordable Care Act, to serve individuals with serious and persistent mental illness.
Summary: Updates components of the nursing facility rate setting methodology and updates numerous charts and exhibits within the State plan that demonstrate the revised factors and limits applicable to the new rate period beginning with SFY 2016.
Summary: Implements the KS Executive Reorganization #43 which moves the determination of Medicaid eligibility for individuals who are elderly and disabled to the KS Department of Health and Environment, Division of Health Care Finance.
Summary: This SPA better defines and establishes the requirements of the Durable Medical Equipment program in order to reduce waste and inappropriately rendered services.