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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: Proposes to Disregard Payments Made to Compensate Individuals Who were Involuntarily Sterilized Pursuant to the Virginia Eugenical Sterilization Act (And who are living as of February 1, 2015) in Determination of Medicaid Eligibility for New or Current Enrollees.
Summary: Proposes that One or More Qualified Hospitals Determine Presumptive Eligibility and Virginia Provides Medicaid Coverage for Individuals Determined Presumptively Eligible.
Summary: Provisions for governing coordinated care network and Medicaid managed care in order to change the name and to incorporate programmatic changes resulting from the inclusion of basic behavioral health services in the program and the voluntary enrollment of Medicaid eligible children identified in the Melanie Chisholm.
Summary: This SPA implements the Affordable Care Act changes for citizenship and non-citizen eligibility, verifying the reasonable opportunity periods to provide verification of citizenship.
