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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: The purpose of this amendment is to implement the Long Term Care Insurance Partnership program which provides for the disregard of resources as well as estate recovery disregard in an amount equal to the insurance benefit payments made to or on behalf of an individual who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act 2005.
Summary: The SSDC Iowa Medicaid Supplement Drug Rebate Agreement utilized by the state to enter into a rebate agreement with a drug manufacturer has been revised and must be authorized by CMS.
Summary: This amendment changes the reassessment for compliance with Section 1902(a)(68) of the Social Security Act from annually to at least every three years. This section ensures compliance with the "Employee Education about False Claims Recovery".
Summary: The purpose of this amendment is to revise the method of evaluating the cost effectiveness of the Louisiana Health Insurance Premium Payment Program (LaHIPP).
Summary: This amendment provides for a per diem increase to nursing facility and HIV nursing facility reimbursement rates by granting a trend adjustment resulting in an increase of five dollars and fifty cents ($5.50) effective for dates of service beginning July 1, 2009.
Summary: The purpose of this amendment is to reduce the reimbursement for non-state, non-rural outpatient hospital services by 3.5% due to budgetary shortfall.
