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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 amendment proposes to remove benzodiazepines and barbiturates from the excludable drug list and provides coverage of tobacco cessation drugs in accordance with 1927(d)(7) of the Social Security Act.
Summary: Changes the definition of children, including lawfully present immigrants under the State Plan in include individuals who are 19 and 20 years of age whose family income is up to 150 percent.
Summary: Revises the approved Title XIX State plan to implement the Modified Adjusted Gross Income -based income levels for the mandatory and optional coverage groups, including the new adult group.
Summary: Incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Massachusetts' Medicaid state plan in accordance with the Affordable Care Act.