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Medicaid State Plan Amendments

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.

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Showing 91 to 100 of 269 results
Transmittal Number: ID-20-0003
State: Idaho
Summary: Proposes to allow the state to comply with the Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (P.L. 115-271).
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: ID-19-0009
State: Idaho
Summary: Authorizes 100% FFP for services provided by non-IHS/Tribal providers to Medicaid-eligible individuals who are Tribal Medicaid beneficiaries when the provider has a written care coordination agreement with an IHS/Tribal facility.

 
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Tribal Issues
Links:
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Transmittal Number: ID-19-0020
State: Idaho
Summary: Amends Idaho’s Basic Alternative Benefit Plan (Basic ABP) to add Partial Hospitalization services to the Basic ABP
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
Links:
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Transmittal Number: ID-19-2021
State: Idaho
Summary: ABP Enhanced Partial Hospitalization.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: ID-19-0021
State: Idaho
Summary: ABP Enhanced Partial Hospitalization.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: ID-19-0022
State: Idaho
Summary: Clarifies populations eligible to receive all medically necessary services, as provided under the Idaho State Plan
Approval Date:
Effective Date:
Topics:
  • Eligibility
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Transmittal Number: ID-19-0011
State: Idaho
Summary: amends Idaho’s Basic Alternative Benefit Plan (Basic ABP) to add children’s habilitation intervention services to the Basic ABP. The habilitation intervention services for children include Habilitative Skill, Behavioral Intervention, Interdisciplinary Training, and Crisis Intervention services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: ID-19-0012
State: Idaho
Summary: amends Idaho’s Enhanced Alternative Benefit Plan (Enhanced ABP) to add children’s habilitation intervention services to the Enhanced ABP. The habilitation intervention services for children added to the Enhanced ABP also include Habilitative Skill, Behavioral Intervention, Interdisciplinary Training, and Crisis Intervention services.
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: ID-19-0025-A
State: Idaho
Summary: Will treat individuals with and without community spouses comparably for the purpose of determining the personal needs allowance under the Adult

Developmental Disability waiver (ID.0076), in accordance with Idaho Administrative Code (IDAPA) 16.03.18.400.06 and current practice. The State

applies a personal needs allowance for both populations that is three times the federal SSI benefit amount.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: ID-19-0025a
State: Idaho
Summary: The purpose of this SPA is to revise eligibility criteria to ensure children who were receiving support services under Idaho’s expired 1915(c) waivers (ID-0887 and ID 0859) can continue to receive support services under Idaho’s 1915(i) benefit for Children with Developmental Disabilities (Supplement 1 to Attachment 3.1-A).
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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