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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: "Substance Use Disorder Treatment and recovery support Services" allows for the availability of SUD services for all individuals eligible for Medicaid.
Summary: To Utilize a transportation broker to arrange for non-emergency medical transportation for the NH Health Protection Program Premium Assistance Program participants and the Medicaid fee for service recipients.
Summary: Individuals in the New Hampshire Health Protection Program Premium Assistance Program will get coverage from qualified health plans rather than from the ABP offered through Medicaid, except for medically frail and those in the Health Insurance Premium Program.
Summary: This SPA transmitted a proposed revision to New Hampshire's approved Title XIX State Plan in order to remove the 18 visit service limit on physician and advanced registered nurse practitioners (ARNP) to change the psychotherapy service limit from 12 to 18 visits for adults age 21 and over and from 12 to 24 the visits for children under age 21.