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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: This amendment, the state updated the Conflict of Interest (COI) standards section of the SPA to comport with regulatory requirements and expanded the target group criteria to include individuals with any behavioral health condition, substance abuse disorder or brain injury.
Summary: This SPA amendment, the state intends to align provider qualifications to allow the provision of 1915(i) HCBS services to individuals with traumatic and acquired brain injury.
Summary: This SPA amendment, the state is adding group homes for children with special health care needs as a new provider type for Community Living Arrangement Services, adding participant direction as a service delivery method for Self-Directed Support Services, and adding telehealth as a service delivery method for specified services.
Summary: This amendment proposed to disregard the spousal resources of certain institutionalized individuals and certain individuals eligible for home and community-based services.
Summary: With this amendment, the state will permanently adopt COVID-19 PHE flexibilities; and add Remote Supports & Host Home Service modalities to align with the state's 1915(c) HCBS waivers.
Summary: This amendment updates State Plan language regarding the Community First Choice program to reduce the provider requirements for emergency response.
