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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 resource limits for QMB, SLMB and QI. Adds Qualified Individuals (QIs) to Attachment 26-A. Uses current language for specified Low Income Medicare Beneficiaries (SLMB) in Attachment 2.2-A, and Re-numbers 28 to 29 and 29 to 30 in Attachment 2.2-A.
Summary: CHIPPRA 2009 gave states the option to use express lane procedures for determining Medicaid eligibility for children. SF 389 requires IA DHS to implement this option. DHS has chosen to rely on information from the IA Supplemental Nutrition Food Assistance Program eligibility to determine Medicaid eligibility for children under 19 who are not current Medicaid members.
Summary: Allows the exclusion of federal and state tax refunds and refundable tax credits as income when determining eligibility for Medicaid for certain mandatory and optional categorically needy groups under the SSA Act.
Summary: Allows the exclusion of federal and state tax refunds and refundable tax credits as income and resources when determining eligibility for Medicaid for low-income families covered under Section 1931 of the Social Security Act
Summary: This amendment implements Section 112 of MIPPA, which increases the resource standards for QMBs, SLMBs and Qls to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy (LIS).
Summary: This SPA transmitted an amendment to your approved Title XIX State plan to comply with the requirements of 5 1 12 of the Medicare Improvements for Patients and Providers Act of 2008, (P.L. 1 10-275). This provision requires States to increase the resource exemptions for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB) and Qualified Individuals (QI) to three times the resource limits of the Supplemental Security Income program. Prior to MIPPA, the resource exemption was twice the SSI limit.
Summary: This amendment modifies section 15 of the State plan that provides for additional disproportionate share hospital (DSH) payments to hospitals serving low-income persons.
Summary: This amendment modifies section 15 of the State plan that provides for additional disproportionate share hospital (DSH) payments to hospitals serving low-income persons.
