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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 will exclude retirement accounts established while the account owner was receiving coverage under section 1902(a)(10)(A)(ii)(XIII), and disregard those accounts in resource eligibility determination for specified eligibility categories.
Summary: Modifies coverage pages to provide more detail about services. In both FFY 2013 and FFY 2014, 2% increase for Direct Care Wage, and 2% for Provider Rate Increase.
Summary: This amendment permits Montana to provide continuous Medicaid eligibility for children under the age of 19 for a full year, regardless of whether the childcontinuously meets all eligibility requirements during the continuous eligibility period.
Summary: Updates the date of the fee schedule for the following State Plan services on the Introduction Page, effective January 1, 2017: Other Laboratory & X-Ray Services, Physicians' Services, Optometrists' Services, Physical Therapy Services, Occupational Therapy Services and Hearing Aids.
Summary: This amendment (1) implements legislative funding for nursing facilities and intermediate care facilities for individuals with intellectual disabilities (2) updates references to reflect the current fiscal year (3) updates the current statewide median price; and, (4) maintains the spending level for the direct care wage component of the rate as well as at risk nursing facilities.
Summary: Implementation of an Asset Verification System for eligibility, and includes a timeline for all needed steps to achieve full compliance with section 1940 (a) of the Act.
