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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 proposes to amend New Jersey's Alternative Benefit Plan to include Managed Long Term Services and Supports and to increase mental health and substance use disorder rates in order to more closely align with existing state rates currently paid by the Division of Mental Health & Addiction Services.
Summary: This SPA establishes the income standards for the specific MAGI eligibility groups and the mandatory MAGI eligibility groups for Parents and Other Caretakers, Pregnant Women, Infants and Children Under Age 19, and Former Foster Care Children up to Age 26.
Summary: Revises the operationalization of the Graduate Medical Education distribution authorized in the state's 1115 Comprehensive Waiver's Special Terms and Conditions October, 2012 (and amended in December 2013).
Summary: This SPA provides Behavioral Health Home Services to children under the age of 21 in Bergen County by enhancing the current care management team within the Care Management Organizations.
