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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 is in compliance with specific third party liability requirements outlined in the Bipartisan Budget Act of 2018 and the Medicaid Services Investment and Accountability Act of 2019.
Summary: This State Plan Amendment was submitted to amend the provisions governing third party liability in order to clarify language around preventive pediatric services, child support enforcement, and prenatal services, as well as to update policies and procedures.
Summary: This SPA amends to bring Nevada's state plan into compliance with specific third-party liability requirements outlined in the Bipartisan Budget Act of 2018 and the Medicaid Services Investment and Accountability Act of 2019.
Summary: The state proposes to include assurances that the state complies with Third Party Liability rules as authorized under both the Bipartisan Budget Act of 2018 and the Medicaid Services Investment and Accountability Act of 2019. The state has submitted this SPA per the guidance issued in August 2021. CMS supports this change.
Summary: This Amendment complies with an August 27, 2021, Center Information Bulletin that assist States in ensuring that their Medicaid State Plans complied with Third Party Liability (TPL) requirements reflected in current law.
Summary: This amendment updates the State Plan to amend Third-Party Liability Requirement under the Bipartisan Budget Act (BBA) of 2018 and Medicaid Investment and Accountability Act (MSIAA) of 2019.
Summary: This amendment amends the language in the requirements for Third Party Liability - Payment of claims with changes required in the Bipartisan Budget Act and the Medicaid Services Investment and Accountability Act.
Summary: This State Plan Amendment makes conforming changes to the Medicaid State Plan to bring Indiana Medicaid into compliance with the new Bipartisan Budget Act (BBA) of 2018 singed into law by the Centers for Medicare and Medicaid Services (CMS) February 9, 2018. This new legislation requires modifications in coordination of benefits claims processing rules.
