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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: Increases detoxification treatment locations, services, and benefits offered for Oregon Health Plan beneficiaries with a diagnosedsubstance abuse need.
Summary: Eliminates coverage for medically needy caretakers relatives, adjust assignments of rights, and changes methodology related to treatment of resources.
Summary: Proposes to implement Connect Care under the authority of section 1932a1A of the Social Security Act (the Act). Under this authority, a state can amend its Medicaid state plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without being out of compliance with provisions of section 1902 of the Act on statewideness.
Summary: This amendment changes the state plan Personal Care Coverage to a limit of 20 hours unless the assessed need is higher and prior authorization is obtained.
