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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 an increase to the resource standards for QMBs, SLMBs and QIs to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy.
Summary: Eliminates payment for three surgical errors known as "never events", eliminates payment for certain hospital acquired conditions identified as non-payable by Medicare and adds Anesthesiologiest Assistants as compensable provider type effective on or after February 1, 2010.
Summary: Makes technical corrections to the amendment originally approved with Transmittal #98-05 to correctly place and accurately reflect the financial criteria applicable for poverty level pregnant women.
Summary: This amendment defines units of mental health rehabilitative services that Medicaid eligible children can receive. Establishes a fee schedule reimbursement methodology for each individual service.
Summary: Revises the Medicare Savings Program in response to the Medicare Improvements of Patients and Providers Act of 2008 in order to incorporate provisions regarding the submittal of low income subsidy data and to disregard certain assets in the eligibility determination process.