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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: The SPA transmitted a proposed amendment to your approved Title XIX State Plan to reflect the change from twelve to four the number of podiatry visits allowed per recipient per state fiscal year as part of budget reduction provisions agreed upon during the state's Governor's phase of the 2010-2011 budget bienniums.
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the coverage of hospice services as directed by New Hampshire Chapter 166, Laws of 2009 (Senate Bill 42).
Summary: This amendment revises the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, it will implement the Minimum Data Set (MDS) 3.0 to determine the case mix index used to establish payment rates. It also includes language clarifying that the cost of completing the MDS is an allowable cost to be included in determining the payment rates.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, the amendment removes the requirement to limit the Administrative and operating costs of private nursing facilities for the severely disabled to a peer group ceiling.
Summary: This SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cease coverage of chiropractor services which was not funded as part of the 2010-2011 state budget process.
