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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: Expands eligibility for children under the age of 19 years who would otherwise lose eligibility due to the elimination of income disregards under modified adjusted gross income based methodologies.
Summary: Increases the federal medical assistance percentage of one percentage point for adult vaccine and clinical preventive service expenditures in accordance with section 41 06 of the Affordable Care Act.
Summary: Eliminates coverage for medically needy caretakers relatives, adjust assignments of rights, and changes methodology related to treatment of resources.