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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 identifies as a plan service concurrent hospice services for children under age 21 years, pursuant to Section 2302 of the Affordable Care Act.
Summary: Which propose to implement Asset Verification System, a system for verifying the assets of aged, blind or disabled applicants for and recipients of Medicaid.
Summary: This SPA adds language that was inadvertently dropped on Maryland SPA 11-04, which expanded coverage to otherwise pregnant women and children who are aliens, under the Childrens Health Insurance Program Reauthorization Act (CHIPRA) Section 214 option.
Summary: This amendment requests an exception to the Medicaid RAC January 1, 2012 implementation date published in CMS' September 16, 2011 final rule. The State proposes to implement its program by March 31, 2012.
Summary: This is a Pharmacy SPA: it reduces dispensing fees by five percent. In addition, this amendment adds language regarding coverage of smoking cessation products for pregnant women to the pharmacy section of the State Plan. The pharmacy section has also been reformated for improved organization and clarity.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to elect the option provided by §214 of the Children's Health Insurance Program Reauthorization Act of 2009, Public Law 111-3. This option provides States, at their option: to grant full Medicaid coverage to all otherwise eligible alien children or pregnant women fully residing in the United States.
Summary: Conforming with section 2302 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148, which amended Title XIX (Medicaid) of the Social Security Act (the ACT) in requiring that children who are enrolled in either Medicaid or CHIP be allowed to receive hospice services without foregoing curative treatment related to a terminal illness effective July 1, 2011.
Summary: To implement a conflict-free case management, adds a small population of clients transitioning into the community from nursing facilities and revises the current reimbursement methodology for targeted case management beneficiaries age 60 and older.
