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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: Provides full Medicaid coverage qualified alien children and pregnant women who are are fully residing in the U S but have either not met the 5 year waiting period or 5 year bar under Section 403 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 or are nonqualified aliens lawfully residing in the U S who are other otherwise eligible for such assistance.
Summary: Increases the resource limits for QMB, SLMB and QI. Adds Qualified Individuals (QIs) to Attachment 26-A. Uses current language for specified Low Income Medicare Beneficiaries (SLMB) in Attachment 2.2-A, and Re-numbers 28 to 29 and 29 to 30 in Attachment 2.2-A.
Summary: CHIPPRA 2009 gave states the option to use express lane procedures for determining Medicaid eligibility for children. SF 389 requires IA DHS to implement this option. DHS has chosen to rely on information from the IA Supplemental Nutrition Food Assistance Program eligibility to determine Medicaid eligibility for children under 19 who are not current Medicaid members.
Summary: This SPA transmitted an amendment to your approved Title XIX State plan to comply with the requirements of 5 1 12 of the Medicare Improvements for Patients and Providers Act of 2008, (P.L. 1 10-275). This provision requires States to increase the resource exemptions for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB) and Qualified Individuals (QI) to three times the resource limits of the Supplemental Security Income program. Prior to MIPPA, the resource exemption was twice the SSI limit.
Summary: Aligns the resource limit for Qualified Medicare Beneficiaries Specified Low Income Medicare Beneficiaries and Qualifying Individuals with the resource limit for individuals who qualify for the full subsidy under the Medicare Part D Low Income Subsidy program.
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008.
