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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 amendment revises the Medicare/Medicaid Coordinated Plan to comply with the requirements of the Affordable Care Act to ensure that the essential health benefits and other standards are met.
Summary: Reflects Changes in Pharmacy Coverage Required by Section 175 of the Medicare Improvement for Patients and Providers Act of 2008 to Include Barbiturates "Used in the Treatment of Epilepsy, Cancer, or Chronic Mental Health Disorder" and Benzodiazepines in Part D Drug Coverage.
Summary: Aligns the S10 Plan Plage with the Federal Facilitated Marketplace Data Collection Tool for Modified Adjusted Gross Income (MAGI) Based Methodologies.
Summary: This SPA removes Idaaho's initial Medicare Medicaid Coordinated Benchmark Benefit Plan (Coordinated Plan), authorized under the 2005 Deficit Reduction Act (DRA), from Idaho's State Plan.
Summary: Aligns Coverage of preventive services under the Medicaid State Plan with preventive services in Hawaii's approved ABP and allows for coverage of these services without cost sharing.
Summary: Defines the Basic Alternative Benefit Plan (Basic ABP) Targeted to Serve Low-Income Children and working Age Adults with Eligible Dependent Children.
Summary: Removes the Idaho Enhanced Benchmark Benefit Package (EBBP) to comply with the requirements in the Affordable Care act to ensure that the essential health benefits and other standards are met.
Summary: This SPA defines the Enhanced Alternative Benefit Plan (Enhanced ABP) targeted to serve individuals with special health care needs operating under section 1937 authority of the Social Security Act (the Act).
