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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: Implements Section 1915j authority for self directed personal assistance services to transition Medi Cal beneficiaries currently receiving services through the In-Home Supportive Services Plus Section 1115 Demonstration project which expires on September 30, 2009.
Summary: Implements a new coverage group for individuals who would otherwise qualify for Medi-Cal benefits as Disabled Widows, Widowers or Early Disabled Widows, Widowers through the use of more liberal income disregards under Section 1902 r 2 of the Social Security Act.
Summary: Implements a new coverage group for individuals who would otherwise qualify for Medi Cal benefits as Childhood Disability Beneficiaries through the use of more liberal income disregards under Section 1902 r 2 of the Social Security Act.
Summary: Implements a new coverage group for individuals who would otherwise qualify for Medi-Cal benefits under the Pickle Amendment through the use of more liberal income disregards under Section 1902 r 2.
Summary: Provides electronic asset verification of Aged Blind and Disabled Medi-Cal applicants and beneficiaries who do not have Supplemental Security Insurance.
Summary: Adds outpatient mental health services mammography, and pelvic exams, and to make a technical correction adjust the EPSDT age limit to 21 years.
Summary: increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for
the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act;