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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 amendment inserts language into the State plan concerning a nursing ho,e patient paid amount deduction for non-covered, necessary remedial care expenses in the three months prior to eligibility.
Summary: This SPA transmitted a proposed amendment to Maine's approved Title XIX State plan to amend its State Plan so that the State can be in compliance with the mandatory provision in Section 2302 of the Patient Protection and Affordable Care Act (PPACA), entitled Hospice Care for Children. Section 2302 requires that children are able to receive hospice and curative care concurrently.
Summary: This SPA transmitted an amendment to your approved Title XIX State plan to assure comparability amount, scope and duration of services made available to categorically and medically needy populations in the State plan. This amendment clarifies that all services provided for medically needy groups are identical in amount, duration, and scope as those for categorically needy groups.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Lo add authorization requirements to certain highcost, high-utilization procedures.
Summary: This amendment implements the changes in the treatment of transfers of assets for less than fair market value required by the Deficit Reduction Act of 2005.
Summary: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
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.
