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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: Conforming with section 2302 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148, which amended Title XIX (Medicaid) of the Social Security Act (the ACT) in requiring that children who are enrolled in either Medicaid or CHIP be allowed to receive hospice services without foregoing curative treatment related to a terminal illness effective July 1, 2011.
Summary: To implement a conflict-free case management, adds a small population of clients transitioning into the community from nursing facilities and revises the current reimbursement methodology for targeted case management beneficiaries age 60 and older.
Summary: This SPA, in accordance with Section 113 of the Childrens Health Insurance Program Reauthorization Act (CHIPRA), eliminates the previous requirements for deemed newborn Medicaid eligibility that the newborn must come home from the hospital to live with the mother, remain a member of the mothers household, and that the mother remain eligible for Medicaid, or would remain eligible if still pregnant. By virtue of this change, all newborns born to women covered by Medicaid for the child's birth, including coverage of an alien for labor and delivery as emergency medical services, are now covered as mandatory categorically needy.
Summary: Revising the State's Tribal consultation process. This SPA added language changing the current process of Tribal consulting on all proposed SPAs and waivers regardless of impact, to not providing Tribal consultation on SPAs that are purely technical in nature (i.e. pagination changes, renumbering of lists, etc.) and therefore; have no direct impact on the Tribes. This SPA also provided evidence of your continued process of informing and seeking input from all federally recognized Native American Tribes and Indian Health Programs within the State of Nebraska regarding all other SPAs and waivers, the overall Tribal consultation process and required timeframes, as well as, discussing any possible impact proposed SPAs might have on the Tribes.
