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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 Alternative Benefit Plan (ABP) aligns the Advanced Practice Dental Hygienist approved under the Alaska State Plan as a Medicaid billing provider for the expansion population.
Summary: This amendment is to require a Prescribed Pediatric Extended Case Center (PPECC) to provide transportation to a recipient when the recipient’s physician determines the recipient is stable to receive transportation services and the parent or legal guardian wants the recipient to receive transportation services.
Summary: This amendment is to add coverage of community-based mobile crisis services. This aligns the state’s Alternative Benefit Plan (ABP) with approved SPA 24-0005.
Summary: This SPA is to align with dental plan changes made to the state plan, eliminate the $750-per-year adult dental benefit limit, to allow public health licensed dental hygienists to provide certain dental services, and to better align language in the State Plan with state regulations in 471 NAC 6.
Summary: This amendment is to eliminate the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Alternative Benefit Plan (ABP).
Summary: To add coverage for temporary lodging targeted to families of children with special needs when the child is required to travel to receive treatment.
Summary: This Alternative Benefit Plan (ABP) amendment complies with Section 11405 of the Inflation Reduction Act (IRA) aligning the new mandatory coverage of Medicaid adult vaccinations and the administration of vaccines for the expansion population under ABP5 benefit, without cost-sharing.
Summary: This amendment proposes to allow the Division of Medicaid to revise Non-Emergency Transportation (NET) broker reimbursement in accordance with an emergency contract.
