This SPA incorporates the MAGI-based eligibility process requirements, including the single streamlined application into the New York Medicaid state plan in accordance with the Affordable Care Act.

This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.

Incorporates Citizenship Regulations, Specifies Reasonable Opportunity Period Options, and Specifies Policy Options Related to Eligible Non-Citizens.

Updates Residency Language and Provides Medicaid to otherwise eligible residents of the state, including residents who are absent from the state under certain conditions.

Incorporates Residency Requirements.

Incorporates Citizen and Non-Citizen Eligibility Requirements.

Incorporates Modified Adjusted Gross Income MAGI Based Eligibility Process Requirements.

Provides Coverage to Reasonable Categories of Individuals Under the Age of 21.

Grants Medicaid to Otherwise Eligible Residents of the State.

Proposes that one or more Qualified Hospitals Determine Presumptive Eligibility and WV Provides Medicaid Coverage for Individuals Determined Presumptively Eligible.