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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: Iowa is implementing presumptive eligibility for children. The initial estimate assumes 1,176 children will become eligible because of presumptive eligibility by the end of FFY 2010, and 2,446 children will become eligible by the end of FFY 2011.
Summary: This deemed newborn plan amendment eliminates the restriction that a newborn, to remain Medicaid eligible, must return home from the hospital to live with the mother.
Summary: This SPA implements Express Lane Eligibility for children, in which the Maryland Comptroller will identify through annual State income tax returns those families who are below 300 percent of the Federal Poverty Level and who indicate that their children do not have health insurance coverage.
Summary: This SPA extends Medicaid to independent foster care adolescents, in accordance with State legislation, to provide for individuals who were in foster care under the responsibility of the State on their 18th birthday and have not reached the age of 21.
Summary: This amendment reduces the amount of medical and remedial expenses that may be deducted in the post-eligibility process to zero if they were incurred as the resuh of the imposition of a transfer of asset penalty period.
Summary: Adopting CHIPRA option to cover lawfully residing noncitizen pregnant women and and children; eliminating sponsor deemng for noncitizen pregnant women and children; eliminating requirement that automatically eligible newborn live with mother.
Summary: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
