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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: Revises Medical Assistance coverage of acupuncture services to expand coverage beyond the treatment of chronic pain to include all conditions for which the state determines acupuncture is medically necessary.
Summary: Establishes provisions to use the Supplemental Nutritional Assistance Program (SNAP) option for the streamlined enrollment of SNAP recipients who meet the eligibility requirements for the new adult group under Medicaid expansion as authorized under the provisions of the Affordable Care Act.
Summary: Children with SED will qualify for health home services whereas SED will be defined to include serious emotional disturbance, co-occurring developmental disability and mental illness, co-occurring mental health and substance abuse, or developmental Disability eligible (per NJ Statute 10:196) with symptomology of SED.
Summary: Amends the Alternative Benefit Plan to partially restore dental benefits for non-pregnant adults, restore coverage of dentures and crowns for adults and more frequently covered scaling and root planning for adults.
Summary: Provides for a one percent increase in per diem rates for private Intermediate Care Facility for Individuals with Intellectual Disabilities services.
