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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 purpose of this SPA adds KanCare Health Home - Serious Mental Illness to the additional covered benefits section, ABP 5, of the Alternative Benefit Plan.
Summary: This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.
Summary: Incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Kansas' Medicaid state plan in accordance with the Affordable Care Act.
Summary: This SPA removes the current Benchmark assuring high quality care from the State Plan. The benchmark plan is being replaced by the KS' WORK Alternative Benefit Plan.
Summary: Amend Modified Adjusted Gross Income (MAGI) page S30, for the MAGI based eligibility groups Mandatory Coverage - Infants and Children under Age 19.
Summary: Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act. To qualify for enrollment in this health home program an individual must have one or more serious and persistent mental illness (SMI) conditions.
