Medicaid & CHIP PDF Repository

Medicaid/CHIP State Plan Amendments for 2014

In preparation for implementation of the Medicaid and CHIP changes related to the Affordable Care Act, states will be submitting a number of State Plan Amendments (SPAs). In particular, SPAs are needed to implement the MAGI-based eligibility levels and income counting methodologies for Medicaid and CHIP, to elect a state’s single streamlined application format, and to indicate the design of their Medicaid alternative benefit plans (ABPs) for the new adult group in 2014. The vehicle for submitting these 2014-related SPAs will be a set of “fillable” PDF documents that will be submitted through the web-based repository known as the Medicaid Model Data Lab (MMDL). States will need to access and submit these PDFs through the MMDL system, but the list of SPA pages is available in the table below.

Instructions are available for accessing the Medicaid Model Data Lab (MMDL) and Waiver Management System (WMS) user ID:

Medicaid MAGI Eligibility & Benefits State Plan Amendments

See the 2014 Medicaid MAGI Eligibility & Benefits State Plan Amendments document for descriptions.

SPA Action SPA Group PDF # Description
1 MAGI-Based Eligibility Groups   Mandatory:
S25 Parents and Other Caretakers
S28 Pregnant Women*
S30 Infants and Children Under Age 19*
S32 Individuals Below 133% of the FPL
S33 Former Foster Care Children up to age 26
S50 Individuals Above 133% of the FPL
S51 Optional Parents and Caretakers
S52 Reasonable Classifications of Individuals
S53 Non IV-E Adoption Assistance
S54 Optional Targeted Low Income Children
S55 Tuberculosis
S57 Foster Care Adolescents – Chafee
S59 Family Planning
S14 AFDC Income Standard
2 Eligibility Process S94 Single streamlined application or alternative, Renewals, Coordination for enrollment and eligibility (agreements with Exchanges)
3 MAGI Income Methodology S10 Designates the income options the state is electing in 2014 (e.g. how pregnant women are counted, reasonably predictable changes in income, cash support, how full-time students are counted)
4 Single State Agency A1 Addresses single state agencies delegation of appeals and determinations
5 Residency S88

State affirms residency regulations

Addresses interstate agreements and temporary absence

6 Citizenship & Immigration Status S89 State affirms citizenship regulations, specifies reasonable opportunity options, and specifies policy options related to immigrant eligibility
7 Hospital Presumptive Eligibility S21 State specifies options for presumptive eligibility conducted by hospitals