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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: This SPA amendment was required by Section 6411 of the Affordable Care Act pertaining to the Medicaid Recovery Audit Contractor (RAC) program. Effecting December 31, 2010, Louisiana is attesting that they are establishing a Medicaid RAC progrem. The amendment does not have a dired impact on tribes, and did not require a tribal consultation
Summary: Establishes home and community based services under the 1915(i) state plan option for Adult Behavioral Health Services concurrent with the Behavioral Health 1915(b) waiver under a capitated contract reimbursement methodology.
Summary: Exempts urgent care facilities and retail convenience clinics from the Primary Care Case Management requirement for written referral or authorization.
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.
Summary: Allows the State to use findings from specified public agencies to evaluate a child's initial eligibility for enrollment or renewal for the Medicaid/LaCHIP program.