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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 is to amend the Working Healthy Alternative Benefit Plan (ABP) to change the Medicaid authority from the 1115 waiver for managed care to the 1915(b) waiver.
Summary: This amendment is to expand the Oral Health Connections Pilot project until December 31, 2023, modifying the age range for pregnant clients from 21 to 64, to, 16 and older, and changing the age range for diabetic customers from 21 to 64, to, 21 and older. Clients who were qualified for both Medicaid and Medicare (dual eligibles) will also be able to participate.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add homemaker services during the COVID-19 public health emergency (PHE) for Idaho’s 1915(i) HCBS Adult Developmental Disability Program. The SPA also authorizes a waiver of signatures for drug dispensing during the PHE.
Summary: This amendment adds a 1915(j) benefit to allow Self-Directed PAS, following the end of the Public Health Emergency, in order to enable ongoing access for enrollees who accessed services granted under 1135 waiver authority.
Summary: This amendment is for §1915 state plan home and community-based services (HCBS) benefit and adding the new service Coordinated Family Supports.
Summary: This Alternative Benefit Plan (ABP) adds Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types to ensure coverage authority for ambulance treatment without transport. This aligns the state’s ABP with approved SPA 23-0037.
Summary: Renews authorization for the provision of nursing facility transition services to individuals who currently reside in a nursing facility and have expressed a desire to return to the community, but who have barriers to a nursing facility discharge.
