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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: The state plan makes individuals receiving hospice services mandatory participants in BAYOU HEALTH and individuals receiving home and community based waiver services voluntary participants.
Summary: Permits Idaho to reimburse out-of-state intermediate care facilities for the intellectually disabled for treatment to Idaho's beneficiaries at the approved per diem rates of the home state's medicaid program.
Summary: Provides comprehensive health home services to adults and children with chronic health conditions, especially addressing the needs of adults and children with significant mental health and occurring diagnosis.
Summary: The state plan amends the provisions governing therapeutic group homes (TGH) to increase the number of beds allowed in a TGH and revise the requirements for research-based practices.
Summary: This amendment clarifies coverage for Private Duty Nursing and will establish a monthly service limit that would be allowed in combination with the limit on home health services.
Summary: Adjusts the Primary Home Care (PHC) non-priority attendants cost payment rates to be equal to the paymentrates in effect August 31, 2014 plus an additional $0.39.