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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: Removes the annual limit on the number of persons served and removing all references to payment slots and waiting lists for the 1915(i) State Plan HCBS program, on or after October 1, 2010 as required by the Affordable Care Act.
Summary: Iowa is implementing presumptive eligibility for children. The initial estimate assumes 1,176 children will become eligible because of presumptive eligibility by the end of FFY 2010, and 2,446 children will become eligible by the end of FFY 2011.
Summary: Which amends the state plan to include reimbursement of an administrative fee for pharmacies administering the influenza vaccine available through the Vaccines for Children (VFC) program.
Summary: This SPA is being submitted because of changes to the LTC Partnership Program as directed by the DRA of 2005 and clarification from CMS. Determined that the placement for the asset exemption from estate recovery is on page 53b and removed from Sup. 8b to Attachment 2.6-A.
