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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: Disregards an amount equal to premiums paid for private/commercially available health insurance when determining the eligibility of persons in the Qualified Medicare Beneficiaries, Specified Low-income Medicare Beneficiaries, Qualifying Individuals, Working Disabled, or Aged and Disabled eligibility groups.
Summary: Technical correction only to the effective date of SPA 14-003. Nebraska had initially requested an effective date of July 1, 2014 and the effective date should be November 1, 2014.
Summary: Incorporate the requirements of Nebraska Legislative Bill (LB) 1076 which introduces coverage for telemonitoring and asynchronous services into the current SPA.
Summary: Technical correction only to the effective date of SPA #NE 13-12. Nebraska had initially requested an effective date of December I, 20 13 and the efl'ecti ve date should be July 1, 2014.