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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: Proposes to change the working disabled group from TWWIIA to the BBA group with more liberal income and asset methods for applicants/enrollees in the BBA group, and a more liberal asset method allowing certain enrollees to establish Employment incentive asset accounts for a later disregard when enrolled in a group for individuals age 65 and older.
Summary: Revises supplemental payments to certain safety-net hospitals for physician and dental services by including the University of Minnesota as an eligible provider. Also revisessupplemental payments for ambulance services to include non-state, government-owned providers.
Summary: This amendment revises methodologies and standards for determining payment rates for nursing facilities provided services based on the RUG class in effect.