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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: An alternative Benefit Plan (ABP) that will align benefits between the ABP and amendments to Attachment 3.1A, and will authorize enrollment of expansion population into the Virginia Medicaid Managed Care (Medallion 4.0) program and the Commonwealth Coordinated Care (CCC) Plus program.
Summary: A revision for the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect recalculated weights with component updates.
Summary: To include the terms upon which the state will collect supplemental rebates from drug manufacturers on those drugs dispensed to Medicaid Managed Care Organizations (MCO) enrollees.
Summary: This SPA was submitted on May 24, 2016 to remove Attachment 3.1-F from the Iowa State Plan. This attachment had previously provided federal authority for the state to operate their MediPass and managed care programs through the Medicaid state plan.
Summary: This SPA was submitted on May 24, 2016 to remove Attachment 3.1-F from the Iowa State Plan. This attachment had previously provided federal authority for the state to operate their MediPass and managed care programs through the Medicaid state plan.
Summary: This SPA was submitted on March 30, 2016 to revise the delivery system through which the Iowa Wellness Plan, Alternative Benefit Plan (ABP), is delivered to reflect the move to Statewide managed care.