An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Adds language to the inpatient state plan which explains the new elective deliveries policy and add the language regarding reasonable cost reimbursement back into the state plan which was inadvertently left out in TN11-027.
Summary: This amendment proposed to update the dispensing fee for preferred brand name and generic drugs as well as generic drugs not identified on the preferred list from $6. 52 to $6.65.
Summary: Reflects Changes in Pharmacy Coverage Required by Section 175 of the Medicare Improvement for Patients and Providers Act of 2008 to Include Barbiturates "Used in the Treatment of Epilepsy, Cancer, or Chronic Mental Health Disorder" and Benzodiazepines in Part D Drug Coverage.
Summary: Aligns Coverage of preventive services under the Medicaid State Plan with preventive services in Hawaii's approved ABP and allows for coverage of these services without cost sharing.
Summary: The amendment is required by 42 C.F.R. 433.206(h) to allow the State to claim an increased federal medical assistance percentage for enrollees in the adult group.
