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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 transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cover disposable diapers and incontinence supplies for Medicaid recipients ages 21 and over.
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, the amendment updates the cost center percentages used to calculate the weighted trend factors for the annual rate increases and deletes obsolete language.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically,the amendment adds language to clarify how rates will be established for new providers and increases rates for existing providers if their costs increase by more than 5%. The amendment will also revise the distribution methods for disproportionate share hospital payments and supplemental payments up to the upper payment limits.
Summary: This SPA proposed to use the authority of $1902(r)(2) and 5 193 1 of the Social Security Act (the Act) to disregard, for certain Medicaid eligibility groups, all wages paid by the U.S. Census Bureau for temporary employment related to decennial activities.
