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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 proposed SPA transmitted an amendment to Connecticut's approved Title XIX State plan to exclude the amount of the Connecticut Earned Income Tax Credit in determining Medicaid eligibility for the eligibility groups specified in this SPA.
Summary: The plan amendment allows individuals under the age of 21 to receive treatment for terminal illness in addition to hospice services. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian Organizations.
Summary: This PACE program will provide additional long-term care options for eligible individuals, age 55 and older, by offering a comprehensive array of Medicare & Medicaid institutional and community-based services for those who meet a nursing facility level of care and live in the designated service area of a PACE provider.
Summary: This SPA was submitted to make changes to Optometrist services available in the Mississippi State Plan. It will add Optometrist services as a covered service allowing Optometrist coverage to all eligible beneficiaries, not just the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) beneficiaries.
Summary: Requires States that recognize freestanding birth centers to providecoverage and separate payments for freestanding birth center facility services and servicesrendered by certain professionals proyiding services in freestanding birth centers.
Summary: Specifically, this SPA updates the income standard to 75% of the Federal Poverty Level (FPL) used in eligibility determinations for low income families with children under Section 1931 of the Social Security Act, and for children under age 21 under 42 CFR §435.222 for whom public agencies are assuming full or partial financial responsibility (e.g. foster children).
