An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Removes the five year bar to Medicaid eligibility for children under age 21 as authorized in Section 214 of the Children’s Health Insurance Program Reauthorization Act of 2009.
Summary: Request is being made in accordance to changes to the LTC Partnership Program as directed by the DRA of 2005 and 2009 IA HF 723. Bill directs the IA DHS to amend the Medical Assistance state plan to provide that an asset disregard equal to the amount of the insurance benefits paid to or on behalf of the individual who purchase.
Summary: This SPA proposed to use the authority of $1902(r)(2) and 5 193 1 of the Social Security Act (the Act) to disregard, for certain Medicaid eligibility groups, all wages paid by the U.S. Census Bureau for temporary employment related to decennial activities.
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.