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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: Prescribed drugs for the treatment of Hepatitis C and Hemophilia, as well as the high-cost prescribed drugs Carbaglu and Ravicti, have been carved out of the managed care program and will be covered for managed care beneficiaries through the Medicaid fee for service program.
Summary: To Utilize a transportation broker to arrange for non-emergency medical transportation for the NH Health Protection Program Premium Assistance Program participants and the Medicaid fee for service recipients.
Summary: Allows authorized representatives to request and attend administrative appeals and speak with the Medicaid beneficiary's Managed Care Organization or Qualified Health Plan.
Summary: Individuals in the New Hampshire Health Protection Program Premium Assistance Program will get coverage from qualified health plans rather than from the ABP offered through Medicaid, except for medically frail and those in the Health Insurance Premium Program.
