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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: Provides community-based treatment and suppori to children and youth with serious emotional disturbance and their families through a wraparound service delivery model.
Summary: This SPA is to amend the State's approved Title XIX State Plan to add coverage of the digital hearing aid and related codes as well as allowable hearing devices. This SPA limits hearing aid providers to purchase digital hearing aids only from the designated Hearing Aid Procurement Prograrn. This SPA also adds several Speech Services procedure codes, as necessitated by a change in coding standards.
Summary: This SPA amends Consumer Directed Care Option (CDC+) for individuals enrolled in the Traumatic Brain and Spinal Cord Injury (TBI/SCI) and the Aging and Disabled Adult (ADA) waivers.
Summary: This SPA adds Sickle Cell disease management services as a coverage service under the preventive services benefit and adds a reimbursement for those services.
Summary: Provides for an exemption from estate recovery in an amount equal to the benefits paid by certain LTC insurance policies, where those benefits were disregarded in the determination of an individual's Medicaid eligibility.
Summary: Tobacco Cessation Verification of Coverage for Tobacco Cessation for Pregnant Women as mandated in the Patient Protection and Affordable Care Act.