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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 amendment preserves approved coverage of prescription drugs, dentures, and prosthetic devices while resolving a technical duplicate page number issue in Attachment 3.1A.
Summary: This amendment updates Alaska’s Alternative Benefit Plan (ABP) to align with Alaska’s Medicaid State Plan with revisions to the preventive services, vision services, and therapy services which includes physical therapy, occupational therapy, and speech-language therapy in accordance with the ten essential health benefits requirements for ABPs.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend the Disaster Relief SPA authority for 10% increase in HCBS state plan reimbursement through 6 months post-PHE to align with Appendix K authority.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to increase pharmacy dispensing fees.
Summary: This submission complies with the American Rescue Plan (ARP) Act of 2021. ARP requires coverage of COVID-19 vaccines, testing, treatment, and treatment of a condition that could complicate the treatment of COVID-19 in Medicaid.
Summary: This amendment updates preventive services, vision services, and therapy services to include physical therapy, occupational therapy, and speech-language therapy in the Alaska State Plan consistent with section 2713 of the Patient Protection and Affordable Care Act, 42 CFR § 440.130, and 45 CFR § 147.130.
Summary: This amendment is to update the income standards for Alaska’s optional state supplement program, the beneficiaries of which are eligible for Medicaid.
Summary: This SPA waives American Samoa from participation in the Medicaid Drug Rebate Program (MDRP) under the authority of 1902(j) of the Social Security Act.