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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: Amends Idaho's Basic Alternative Plan (Basic ABP) to add coverage of additional Mental Health\/ Substance Use Disorder (MH\/SUD) benefits, Early Intervention Services, and to make updates to the Basic ABP's Adult Dental benefits.
Summary: Amends Idaho's Enhanced Alternative Plan (Enhanced ABP) to add coverage of additional Mental Health/Substance Use Disorder (MH/SUD) benefits, Early Intervention Services, and to make updates to the Enhanced ABP's Adult Dental benefits.
Summary: his SPA reduces the amount, duration and scope of dental services available to individuals over the age of twenty-one, limiting the dental benefit package to emergency and medically necessary oral surgery and palliative services and associated diagnostic services. The benefit changes apply to non-pregnant adults over the age of twenty-one (21), who are eligible for Medicaid's Basic or Enhanced plans.
