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Medicaid State Plan Amendments

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.

Results

Displaying 1001 - 1010 of 15689

New Jersey

To eliminate the income test for its Work Incentives eligibility group and end coverage of its Ticket to Work eligibility group.

Approval Date: May 17, 2024
Effective Date: February 1, 2024

New Jersey

To assess premiums to individuals covered under the eligibility group described at section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act.

Approval Date: May 17, 2024
Effective Date: February 1, 2024
Topics: Cost Sharing Eligibility

Virginia

Allows entities licensed by the Department of Behavioral Health and Developmental Services as providers of case management services, specifically community services boards, to provide services under the brain injury services targeted case management (BIS TCM) program.

Approval Date: May 17, 2024
Effective Date: April 1, 2024

Connecticut

This amendment proposed to memorialize the new income standards for its  optional state supplement program and increase its medically needy income level.

Approval Date: May 17, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Connecticut

This amendment proposed to increase its Medically Needy Income Level (MNIL).

Approval Date: May 17, 2024
Effective Date: March 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Vermont

This amendment proposed to adopt the 12-month continuous eligibility mandate for children, extend the initial transitional medical assistance (TMA) period from six months to 12, and elect the option to require less than three months of eligibility or enrollment in the parent/caretaker relative eligibility group for TMA eligibility.

Approval Date: May 17, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Alaska

This amendment adds Advanced Practice Dental Hygienist to the Alaska State Plan under the other licensed practitioner benefit.

Approval Date: May 16, 2024
Effective Date: March 1, 2024
Topics: Coverage and Reimbursement

Minnesota

This Amendment which amended titles XIX and XXI of the Social Security Act (the Act) to require that states provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid effective January 1, 2024.

Approval Date: May 15, 2024
Effective Date: January 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

Texas

This amendment is to provide children under age 19 with 12 months of continuous eligibility in Medicaid, in accordance with Section 1902(e)(12) of the Social Security Act, as amended by Section 5112 of the Consolidated Appropriations Act, 2023. Children under age 19 will remain continuously eligible for the full 12-month certification period, regardless of changes in circumstances with certain exceptions.

Approval Date: May 15, 2024
Effective Date: January 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Massachusetts

This amendment provides 12 months of continuous eligibility to children under age 19.

Approval Date: May 15, 2024
Effective Date: January 1, 2024
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)