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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 in which the state disregards, under the authority of section 1902(r)(2) of the Social Security Act, all countable resources in determining eligibility for the Work Incentives eligibility group.
Summary: This amendment proposed to disregard the spousal resources of certain institutionalized individuals and certain individuals eligible for home and community-based services.
Summary: This amendment provides 12-months of continuous eligibility for children under the age of 19 enrolled in Medicaid, in accordance with the federal Consolidated Appropriations Act, 2023.
Summary: This amendment is to comply with the requirements of section 5112 of the Consolidated Appropriations Act of 2023. The territory seeks CMS approval (1) to provide continuous eligibility for hospitalized children until the end of a child's inpatient stage if the child would have remained eligible but for having turned 19; and (2) to provide continuous eligibility for children for 12 months or until the child turns 19.
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 proposed to memorialize the new income standards for its optional state supplement program and increase its medically needy income level.
