An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Which adds restrictions regarding children under the age of 17 being transported under the non-emergency medical transportation program to be accompanied by a parent or adult. It also adds coverage for foster care participants 18-21 years of age.
Summary: On February 22, 2012, the State requested that SPA 11-037 be split such that 11-037a amends the State Plan to delay the effective date of the elimination of the coverage of Adult Day Health Care (ADHC) services to April 1, 2012.
Summary: This SPA identifies as a plan service concurrent hospice services for children under age 21 years, pursuant to Section 2302 of the Affordable Care Act.
Summary: Which propose to implement Asset Verification System, a system for verifying the assets of aged, blind or disabled applicants for and recipients of Medicaid.
Summary: This SPA adds language that was inadvertently dropped on Maryland SPA 11-04, which expanded coverage to otherwise pregnant women and children who are aliens, under the Childrens Health Insurance Program Reauthorization Act (CHIPRA) Section 214 option.
Summary: This amendment requests an exception to the Medicaid RAC January 1, 2012 implementation date published in CMS' September 16, 2011 final rule. The State proposes to implement its program by March 31, 2012.
