Implements Affordable Care Act Provision for Addressing Single State Agencies Delegation of Appeals and Determinations.

Incorporates Modified Adjusted Gross Income MAGI Based Methodologies.

Identifies Non-Financial Eligibility Requirements for Both Citizens and Eligible Non-Citizens.

The SPA incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Wisconsin's Medicaid state plan in accordance with the Affordable Care Act.

This SPA establishes that one or more qualified hospitals are determining presumptive eligibility, and that the state is providing coverage for individuals determined presumptively eligible, in accordance with the Affordable Care Act.

Incorporates the residency requirements at 42 Code of Federal Regulations Section 435.403 into the West Virginia Medicaid State Plan in accordance with the Affordable Care Act.

This SPA affirms that state provides Medicaid to citizens and nationals of the United States and certain non citizens consistent with requirements of 42 CFR Section 435.406 including during a reasonable opportunity period pending verification of their citizenship national status or satisfactory immigration status.

This SPA describes Modified Adjusted Gross Income (MAGI) citizenship and immigration status requirements.

Describes Non-Financial Eligibility Citizenship and Non-Citizen Eligibility that will apply to all Modified Adjusted Gross Income (MAGI) based eligibility criteria covered under the Iowa Medicaid state plan.

Describes Processing of Applications and Verifying Eligibility That will Apply to all Modified Ajusted Gross Income MAGI Based Eligibility Criteria.