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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 Connecticut's approved Title XIX State Plan Attachments 2.2A, 2.6A, 3.1A, and 4.19B in order to establish a Family Planning Services coverage group purseant to Section 2303 of the Patient Protection and Affordable Care Act., P.L. 111-148.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Attachments 3.1A, 3.1B and 4.19B to establish methods and standards for setting payment rates for birth center services and other ambulatory services offered by a birth center and otherwise included in the Medicaid State Plan.
Summary: This proposed SPA transmitted an amendment to Connecticut's approved Title XIX State plan to disregard the cash surrender value of life insurance policies when the death benefits are assigned to funeral homes to fund funeral home contracts.
Summary: This SPA amends Idaho's current 1915(i) State plan benefit by adding clarifying language to the services available to eligible participants. In addition, this SPA adds language to indicate that on June 30, 2013, Intensive Behavioral Intervention (IBI), IBI consultation, Developmental Therapy (DT), and Children's Service Coordination (CSC) will sunset in Idaho's Basic and Enhanced Benchmark Benefit plans.
Summary: This SPA proposes to modify the Connecticut State Plan in order to comply with the Patient Protection and Affordable Care Act (Pub. I. 111-148. enacted on March 23. 2010).
Summary: This amendment proposes to implement Section 2702 of the Affordable Care.Act of 2010 and the implementing final rule at 42 CFR 447, Subpart A.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to implement Section 6401(a) of the Affordable Care Act . This Affordable Care Act provision amended section 18660) of the Social Security Act to add a new paragraph ''(2) Provider Screening."
Summary: This SPA amends the State's approved Title XIX State Plan to reduce the current Medicaid reimbursement methodology for limited distribution specialty pharmacies from average wholesale price (AWP) minus 14.2 percent to 16.5 percent, cover generic over-the-counter drugs when medically necessary without the option of prior authorization for brand name drugs and cover active pharmaceutical ingredient (API) drugs.
Summary: This SPA transmitted a proposed revision to New Hampshire's approved Title XIX State Plan in order to remove the 18 visit service limit on physician and advanced registered nurse practitioners (ARNP) to change the psychotherapy service limit from 12 to 18 visits for adults age 21 and over and from 12 to 24 the visits for children under age 21.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to implement section 4107 of the Affordable Care Act. This Affordable Care Act provision amended section 1905(a)(4) of the Social Security Act to add a new subsection (D) to provide Medicaid coverage of comprehensive tobacco cessation services for pregnant women. including both counseling and pharmacotherapy. without cost sharing.
