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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 SPA is to update 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 plan amendment modifies the reimbursement for the Primary Care Case Management Program and aligns it with the Healthy Connections Value Care Program.
Summary: This plan amendment proposes to increase the reimbursement rate for all vaccine administration services for both pediatrics and adults and to clarify and consolidate the payment parameters for vaccine administration.
Summary: This amendment is to increase the monthly needs allowance for individuals living in certain long-term care facilities from $50 to $75 for individuals and $100 to $150 for couples.
Summary: This amendment revises Idaho’s Basic Alternative Benefit Plan to add the following services: Assertive Community Treatment, Parenting With Love and Limits, and Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs.
Summary: This amendment revises Idaho's Enhanced Alternative Benefit Plan to add the following services: Assertive Community Treatment, Parenting With Love and Limits, and Inpatient Psychiatric Services for Individuals Under Age 21 in Psychiatric Facilities or Programs.
Summary: This amendment is to add Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) to the list of professions that are accepted as Medicaid providers for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) as required by the Consolidated Appropriations Act 2023.
