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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: To update Delaware State Plan to allow Medicaid recipients institutionalized in long term care facilities to retain an allowance of income to pay for guardianship costs.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to: Income that would have otherwise been part of an individual's liability for his or her institutional or home and community-based waiver services based on application of the post-eligibility treatment-of income (PETI) rules, but which became countable resources on or after March 18, 2020. Such resources will be disregarded through the twelve months following the end of the month in which the COVID-19 public health emergency ends.
Summary: The group will cover individuals with household income up to 260 percent of the federal poverty level (FPL), the state’s current income standard for pregnant individuals in its Children’s Health Insurance Program.
Summary: This SPA will reduce premiums to $0 for the Working Disabled Program, which covers eligible working disabled individuals with a family income up to 250 percent of the Federal Poverty Level.
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 authorize a temporary income disregard of $1000 monthly income in excess of 180% of the SSI Federal Benefit Rate (FBR) for individuals to whom a spenddown applies.
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 additional resource disregards during the COVID-19 public Health emergency.
Summary: This SPA eliminates the “deprivation” requirement relating to dependent children living with individuals who seek Medicaid on the basis or being parents and other caretaker relatives.
Summary: Removes citizenship, national status, and immigration status as edibility requirements for any PE program, including hospital PE. It also allows additional provider types to serve as qualified entities to make PE determinations for the Adult Group, Parent/Caretaker Relatives, Former Foster Care Youth, Children, and Pregnant Women.
