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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: Provides Medicaid Coverage of comprehensive tabacco cessation services for pregnant women, for both counseling and pharmacotherapy without cost sharing.
Summary: Implement the optional 1915 i state plan Home and Community Based Services benefitfor the elderly and disabled population with intellectual and developmental disabilities.
Summary: Incorporates mandatory and optional Modified Adjusted Gross Income (MAGI) based eligibility groups into the Medicaid State Plan in accordance with the Affordable Care Act.
Summary: Requires states that recognize freestanding birth centers and the services rendered by certain other professionals providing services in a freestanding birth center to cover the services provided by those centers and professionals as mandatory Medicaid services eligible for FFP.
Summary: Implements a resource test for the Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and the Qualifying Individual (QI) populations.