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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: Increases the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.
Summary: This state plan amendment requests an extension of the implementation date for recovery audit contractors (RAC), to be completed no later than July 1, 2013.
Summary: Updates International Classification of Diseases (ICD) Codes and Also Deletes Reference to Targeted Case Management (TMC) Except for Recipients with Elevated Blood Lead Levels.
Summary: Technical SPA to remove reimbursement language applicable to 11-022 which was included in the submiss1on of SC 11-026, Inpatient Hospital Reimbursement, and subsequently approved by CMS via the October 23, 2012 approval letter.