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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: Allows the State to use findings from specified public agencies to evaluate a child's initial eligibility for enrollment or renewal for the Medicaid/LaCHIP program.
Summary: The purpose of this amendment is to revise the reimbursement methodology for inpatient hospital services rendered by in-state children's specialty hospitals.
Summary: The purpose of this amendment is to revise the reimbursement methodology for outpatient hospital services rendered by in-state children's specialty hospitals.
Summary: The purpose of this amendment is to implement the Long Term Care Insurance Partnership program which provides for the disregard of resources as well as estate recovery disregard in an amount equal to the insurance benefit payments made to or on behalf of an individual who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act 2005.
