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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 reflects that Vermont will use MAGI-based income methodologies for purposes of determining medically needy eligibility for parents/caretaker relatives, pregnant women, and children. All resources will be disregarded for purposes of determining eligibility for these medically needy groups subject to MAGI-based income methodologies.
Summary: Approves State Recognition of Same-Sex Couples as Spouses if They Are Legally Married Under the Laws of the State, Territory, or Foreign Jurisdiction in which the Marriage was performed.
Summary: This amendment aligns the populations authorized through the State Plan versus 1115 waiver to include pregnant women eligible under 42 CFR 436.116, children eligible under 42 CFR 425.117 and 42 CFR 435.118, and presumptively eligible pregnant women.
Summary: Incorporates the Modified Adjusted Gross Income (MAGI) based eligibility process requirements, including the single streamlined application into the Medicaid state plan in accordance with the Affordable Care Act.
Summary: This SPA amendment will enable the District to extend Transitional Medicaid from two six month periods to one twelve month periodl; thus, enabling families with low incomes the opportunity to retain Medicaid without a lapse in coverage.
Summary: Amends MAGI-Based Eligibility Group Options for Coverage of Individuals Eligible for Family Planning S59 by Increasing Maximum Income Standard to 200% FPL.
