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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 plan amendment updates the provisions governing leave of absence days for intermediate care facilities for individuals with intellectual disabilities (ICF/IID) in order to increase the total leave days for ICF/IID residents from 45 to 60 and from 30 consecutive days in any single occurrence to 45 consecutive days.
Summary: This Amendment in which the state disregards Tribal General Welfare Assistance (GWA) in determining financial eligibility for certain non-MAGI eligibility groups.
Summary: This amendment is to comply with Section 5112 of the Consolidated Appropriations Act (CAA) 2023, which requires states to provide continuous eligibility to children under the age of 19 in Medicaid.
Summary: This Amendment provides 12 months continuous eligibility for children under the age of 19 in all mandatory and optional eligibility groups (excluding Medically Needy).
Summary: This Amendment memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.
Summary: The purpose of this SPA is to amend the provisions governing disproportionate share hospital (DSH) payments to establish the qualification criteria and methodology for payments for the uncompensated care costs of inpatient psychiatric hospitals located in the northern area of the state with an academic training mission for services provided to uninsured and low-income individuals from the payment pool created in accordance with Act 447.
Summary: Amend the provisions governing inpatient hospital services to clarify the purpose of the affiliated agreement that hospitals must have with an accredited institution for major or minor teaching hospital graduation education training and the options applicable for residency programs.
