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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 adds an additional 2-year renewal of exemption from the Recovery Audit Contractor (RAC) program, from January 1, 2025, to December 31, 2026.
Summary: This amendment is to add Elevated Blood Lead (EBL) level education visits for children under 21 years of age, and Lead Hazard Risk Assessments for children under 21 years of age.
Summary: This amendment is to add Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) to the FQHC and RHC sections of its Medicaid State Plan to be in compliance with CAA 2023.
Summary: This amendment proposes to attest that New Hampshire would establish a Medicaid Recovery Audit Contractor (RAC) program as required by federal regulation for a two-year period.
Summary: This amendment provides the required assurances regarding the reporting of mandatory Core Set measures by Health Home providers in accordance with 42 CFR §§ 437.10 and 437.15. This amendment also updates state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Summary: This amendment provides the required assurances regarding the reporting of mandatory Core Set measures by Health Home providers. In accordance with 42 CFR §§ 437.10 and 437.15.
Summary: The purpose of this SPA is to cover two optional eligibility groups under managed care: children under age 19 with income between 196% and 318% who have third-party liability and the work incentive group, pursuant to section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act, which is limited to individuals aged 65 years and older.
Summary: This amendment is to cover the optional eligibility group described in 42 C.F.R. 435.218 ("Individuals with MAGI-based income above 133 percent FPL") and serve in it children under 19 whose incomes are no greater than 318 percent of the federal poverty level and who may have other insurance.
