Medicaid State Plan Amendments

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.

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Rhode Island

Revises the National Medicaid Pooling Initiative (NMPI) Supplemental Rebate Agreement (SRA) previously submitted to CMS on March 20, 2008 to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.

Approval Date: November 21, 2013

Effective Date: October 1, 2013

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Topics: Financing & Reimbursement

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Alabama

Uses the authority of section 1902r2 of the Act to have a block income disregard between the current net income standard of 100 percent of Federal Poverty Level, and a gross income standard of 141 percent of the Federal Poverty Level for the mandatory poverty-level related group of children aged 6 through 18 under section 1902 a 10 A i VII of the Act.

Approval Date: November 21, 2013

Effective Date: December 31, 2013

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