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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 amendment would allow would allow for the implementation of hospital presumptive eligibility and associated claiming of FFP in North Dakota Medicaid.
Summary: This Amendment amends the income methodology provisions under the Medicaid Buy-In for Working Adults with Disabilities program to disregard the income of the applicant's spouse for the purposes of determining eligibility.
Summary: Adds the Eastern Band of Cherokee Indians (EBCI) as an entity responsible for determinations of eligibility and appeals/fair hearings in accordance with the North Carolina State Law 2016-94, Section12C.2(a).
Summary: This amendment permits Montana to provide continuous Medicaid eligibility for children under the age of 19 for a full year, regardless of whether the childcontinuously meets all eligibility requirements during the continuous eligibility period.
Summary: This SPA is an amendment to Connecticut' s approved Title XIX Medicaid State plan to renew the home and community-based services benefit under Section 1915 (i ) of the Social Security Act for individuals 65 and older who meet the needs-based and financial eligibility criteria in the approved SPA.
Summary: Adds the optional Medicaid eligibility group which provides coverage to women and men that is limited to family planning and family planning-related services under the state plan.
