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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 proposed plan submitted transmitted an amendment to the approved Title XIX State plan proposing to amend Attachment 4.19-B of your State Plan to implement a more cost-effective fee for ceiling lifts in keeping with community pricing, without a negative impact on consumer access.
Summary: This amedment changes the resource limit for Qualified Medicare Beneficiaries (QMB), Specified LowIncome Medicare Beneficiaries (SLMB) and Qualifying Individuals (QI) to conform to the resource limit for individuals who qualify for the full subsidy Medicare Part D LIS as required by section 112 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).
Summary: Provides full Medicaid coverage qualified alien children and pregnant women who are are fully residing in the U S but have either not met the 5 year waiting period or 5 year bar under Section 403 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 or are nonqualified aliens lawfully residing in the U S who are other otherwise eligible for such assistance.
Summary: This amendment implements Section 112 of MIPPA, which increases the resource standards for QMBs, SLMBs and Qls to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy (LIS).
Summary: Aligns the resource limit for Qualified Medicare Beneficiaries Specified Low Income Medicare Beneficiaries and Qualifying Individuals with the resource limit for individuals who qualify for the full subsidy under the Medicare Part D Low Income Subsidy program.
Summary: This amendment represents a complete rewrite of Attachment 4.19-D for ICF/MRs. and freezes ICF/MR per diem rates for SFY 2010 to the rates in place on June 30, 2009.
Summary: Revises the Medicare Savings Program in response to the Medicare Improvements of Patients and Providers Act of 2008 in order to incorporate provisions regarding the submittal of low income subsidy data and to disregard certain assets in the eligibility determination process.
Summary: This amendment elects the Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 option in Section 214 to lift the five year bar ban on eligibility and provide full Medicaid coverage to all otherwise eligible alien children or pregnant women lawfully residing in the District of Columbia.
