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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 SPA transmitted a proposed amendment to New Hampshire's approved Title XIX State Plan to cover disposable diapers and incontinence supplies for Medicaid recipients ages 21 and over.
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: Proposed to change the term "domiciliary facility" to "adult care home" and to identify specifics of personal care services coverage within the adult care home. The SPA was reviewed for the description of Personal Care Services in Adult Care Homes and whether the service violated comparability, freedom of choice of provider, and provider qualification requirements.
Summary: Apply an overall negative inflationary adjustment of 5.02 percent for SFY 2010 and freeze rates for SFY 2011 for Personal Care Services (Adult Care Homes).
