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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for a mechanism to make provider payments to be used for workforce investment for direct care HCBS workers and is a component of New Hampshire's HCBS Spending Plan.
Summary: This SPA attests to the state’s coverage of COVID-19 vaccines and administration of vaccines, as required by section 1905(a)(4)(E) of the the Social Security Act. CMS supports this change, as it is required by statute.
Summary: The SPA attests to the state’s coverage of COVID-19 treatment, as required by section 1905(a)(4)(F) of the Social Security Act. CMS supports this change, as it is required by statute.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increase the reimbursement rate for the Newborn Metabolic Screenings effective July 1, 2020.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is end Nursing Facility COVID Relief Rate (NF CRR) Payments to Medicaid enrolled nursing facilities.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to modify the Personal Care and Personal Care assistance from the previously approved flexibilities in MO 20-0012. The modifications are to face to face visits, telephone signatures and training requirements.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to temporarily eliminate the "Deprivation" requirement relating to dependent children living with individuals who seek Medicaid on the basis of being parents and other caretaker relatives.
Summary: This SPA attests to the state’s coverage of COVID-19 testing, as required by section 1905(a)(F)(4) of the Social Security Act. CMS supports this change, as it is required by statute.
