This SPA matches resource limits for individuals eligible for the full Low-Income Subsidy program benefits under Medicare Part D with those allowed for individuals who are also eligible for Medical Assistance under the Qualified Medicare Beneficiaries/Specified Low-Income Medicare Beneficiaries (QMB/SLMB) programs, as required by the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).

This SPA extends Medicaid to independent foster care adolescents, in accordance with State legislation, to provide for individuals who were in foster care under the responsibility of the State on their 18th birthday and have not reached the age of 21.

This SPA implements Express Lane Eligibility for children, in which the Maryland Comptroller will identify through annual State income tax returns those families who are below 300 percent of the Federal Poverty Level and who indicate that their children do not have health insurance coverage.

This SPA updates a Memorandum of Agreement involving the Department of Health and Mental Hygiene; the Family Health Administration; the Title V Maternal and Child Health Agency; Title X Family Planning Program; and Special Supplemental Nutrition Program for Women, Infants and Children.

This SPA defines the States coinsurance payment for Part B claims for all dual Medicare and full Medicaid covered individuals and Qualified Medicare Beneficiary-only individuals.

This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases NF reimbursements by reducing the net reduction factor applied to select cost centers used in developing rates and implements a supplemental payment using quality indicators to formulate the payments.

This SPA ensures compliance with the Qualifying Individual Program Supplemental Funding Act of 2008, whereby the State has an eligibility determination system that provides for data matching with medical assistance programs operated by other States in order to prevent duplicate enrollments.

This SPA, in accordance with Section 115 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPP A), exempts from the Medicaid estate recovery process the Medicare cost sharing benefits paid by the Medicaid program under the Medicare Savings Program for categories of Medicare and Medicaid dual eligibles aged 55 and older, with dates of service on or after January 1, 2010.

This SPA allows the State to establish programs to contract with one or more Medicaid Recovery Audit Contractors (RAC), in accordance with Section 6411 of the Affordable Care Act. The purpose of the Medicaid RAC is to identify overpayments and underpayments to recoup overpayments under the State Plan and under any waiver of the State Plan.

This SPA ensures compliance with the consultation requirements of Section 5006( e) of the American Recovery and Reinvestment Act. In Marylands case, it requires consultation with the one Urban Indian Organization (UIO) in the State, on Medicaid and Childrens Health Insurance Program SPAs, proposed waivers, waiver extensions, waiver amendments, and waiver renewals having a direct impact on Indians, Indian health programs, and/or UIOs.