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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 addresses the requirements regarding Estate Recovery per Section 115 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) by encouraging dual eligible beneficiaries to fully utilize Medicare cost-sharing benefits available through the Medicare Savings Program.
Summary: Implements Section 5006 e of the Recovery Act, which mandates that States consult withTribes and designees of Indian health programs on State plan amendments, waiver requests, or proposals for a demonstration project that are likely to have a direct effect on Indians.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to update the organizational structure of the single State agency. Specifically, you proposed to update the departments within the Agency of Human Services and the Attorney General's certification.
Summary: Implements a mid-year rate reduction for specified non-institutional services that have claims with dates of service between April 1, 2011 and September 30, 2011.
Summary: Adding estate recovery exemption under section 115 of the Medicare Improvements for Patients and Providers Act of 2008; revising QMB, SLMB, QI resource limit with 1902(r)(2) method; technical revisions to 1902(r)(2) resource method.
