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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 Imperial County and adds Mariposa County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Children Under the Age of 21” TCM group.
Summary: Removes Alameda, Imperial and Los Angeles Counties from and add Mariposa County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease” TCM group.
Summary: Removes Imperial County from and add Mariposa, Placer and Sacramento Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes” TCM group
Summary: Removes Humboldt, Imperial, and Sacramento Counties from and add Mariposa and Placer Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization” TCM
Summary: Removes Imperial, Los Angeles and Sacramento Counties from and add Mariposa and Placer Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Medically Fragile Individuals” TCM group.
Summary: Received North Dakota State Plan Amendment (SPA) ND-19-0022 to move children previously enrolled in the State's stand-alone Children's Health Insurance Program (CHIP) to Medicaid as Optional Targeted Low-Income Children.
Summary: Amends the State Plan to remove the $6000 limit on burial accounts elective August 1, 2019 and amends the State Plan language to be consistent with federal law for annuities. This amendment resolves the companion letter issued with the approval of ND TN 18-0015.
Summary: increase the number of covered inpatient rehabilitation hospital days for adult SoonerCare members from 24 days per state fiscal year to 90 days per state fiscal year
