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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 is to comply with the requirements of section 5112 of the Consolidated Appropriations Act of 2023. The territory seeks CMS approval (1) to provide continuous eligibility for hospitalized children until the end of a child's inpatient stage if the child would have remained eligible but for having turned 19; and (2) to provide continuous eligibility for children for 12 months or until the child turns 19.
Summary: This Alternative Benefit Plan (ABP) aligns the Advanced Practice Dental Hygienist approved under the Alaska State Plan as a Medicaid billing provider for the expansion population.
Summary: The purposed amendment will add the current process of implementing updated inpatient and outpatient hospital per diem rates published by the by Indian Health Services (IHS) in the Federal Register.
Summary: This SPA provides Alaska with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program and increases the income eligibility for pregnant individuals up to 225 percent of the FPL.
Summary: This Alternative Benefit Plan (ABP) amendment complies with Section 11405 of the Inflation Reduction Act (IRA) aligning the new mandatory coverage of Medicaid adult vaccinations and the administration of vaccines for the expansion population under ABP5 benefit, without cost-sharing.
Summary: This Medicaid State Plan amendment complies with Section 11405 of the Inflation Reduction Act (IRA) aligning the new mandatory coverage of Medicaid adult vaccinations and the administration of the vaccines without cost-sharing.
Summary: The addition of diagnosis-related groups and a new disproportionate share hospital (DSH) category; andRemoval of outdated language, grammar revisions, and updated organization structure.
Summary: This SPA is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Alaska's state plan, and make related changes to other eligibility groups covered under its state plan.
Summary: This SPA updates the effective date and fee-schedules for Ambulatory Surgical Clinic Services, In-home Peritoneal Services, Physician Services, Licensed Behavior Analysts, Substance Use Rehabilitation Services, Personal Care Services, Personal Care Services for Community First Choice Option, Chore Services for Community First Choice Option, and Long Term Services and Supports (LTSS) Targeted Case Management.