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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: Adds a supplement to the State plan to definie the requirements of the Asset Verfication System as required under Sectio 1940 of the Social Security Act.
Summary: Institutes lock-in for NVs Medicaid Managed Care program. Also, adds age-out foster care recipients to the list of mandatory managed care populations and adds an annual redetermination of SED/SMI status required to maintain voluntary disenrollment.
Summary: Changes the reimbursement methodology for children with high-risk diagnosis Targeted Case Management services from a monthly state-wide rate to a per-contact-per individual-per day methodology.
Summary: This amendment sunsets the existing reimbursement methodology of paying for Targeted Case Management Services provided to substance abusing parents with young children based on a monthly rate.
Summary: Implements an increase to the resource standards for QMBs, SLMBs and QIs to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy.
Summary: To implement the required Asset Verification System for the purpose of determining eligibility for aged, blind and disabled Medicaid applicants and recipients in accordance with 1940 of the Social Security Act.