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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 part of the Alternative Benefit Plan (ABP) required for the adult population for Medicaid expansion. Specifically, this ABP is for the Consolidated Appropriations Act (CAA) coverage of routine costs associated with qualifying clinical trials.
Summary: This State Plan Amendment adds coverage of the routine patient costs furnished in connection with pai1icipation in clinical trials as outlined in Section 1905(gg) in the Social Security Act for the population currently served in Missouri’s Alternative Benefit Plan (ABP).
Summary: Description: This SPA adds coverage of routine patient costs associated with participation in qualifying clinical trials to Alternative Benefit Plan (ABP).
Summary: Effective January 1, 2022 this SPA updates the Standard Alternative Benefit Plan (ABP) State Plan confirm coverage of routine patient costs for services furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials.
Summary: Effective January 1, 2022 this SPA updates the CarePlus Alternative Benefit Plan (ABP) State Plan confirm coverage of routine patient costs for services furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials.
Summary: Effective January 1, 2022, SPA CT-22-0011 amends the Alternative Benefit Plan to implement mandatory coverage of routine patient costs furnished in qualifying clinical trials, as required by sections 1905(a)(30) and 1905(gg) of the Social Security Act.
Summary: New Hampshire clarifies that the state appropriately covers and pays for routine patient costs of items and services for beneficiaries enrolled in qualifying clinical trials, as newly required under amendments made by Section 210 of the CAA. NH provides coverage for these costs already—no new items or services are being covered, and no payment methodologies are being changed.
Summary: This amendment establishes compliance with mandatory Medicaid coverage and reimbursement of routine patient costs furnished in connection with participation in qualifying clinical trials.
