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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: 1915(i) State Plan Home and Community-Based Services (HCBS), Behavioral and Primary Healthcare Coordination Services; and IN.02.001 - Amendment to 1915(b)(4) waiver, Adult Mental Health Habilitation and Behavioral and Primary Healthcare Coordination Services
Summary: One or more qualified hospitals will determine presumptive eligibility under 42 CFR 435.1110, and Iowa is providing Medicaid coverage for individuals determined presumptively eligible under this provision.
Summary: Amends Idaho's current 1915(i) state plan benefit for children with developmental disabilities by adding "Early Intervention Provider" as a provider type. In addition, this SPA revises the quality improvement strategy language in order to align it with current state plan home and community-based services strategies.
Summary: The SPA proposes to adopt provisions to include an optional coverage group under the Medicaid State Plan to implement the State Provisional Medicaid Program which will provide interim Medicaid-only benefits to eligible individuals until such time that a decision has been rendered on their SSI cash assistance application pending with the Social Security Administration as per 1902(a)(IO)(A)(ii)(X) and 1902(m)(l) of the Social Security Act.
Summary: Disregards all income when considering eligibility for children under age 21 for whom the Texas Department of Family and Protective Services assume financial responsibility in whole or in part or who are under the age of 18 and are in the managing conservatorship of TDFPS.
Summary: Revises the reimbursement methodology for rehab clinics in order to increase the rates for physical and occupational therapy services rendered to recipients under the age of 21.
