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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: These changes are being made to comply with 2011 Idaho Legislative direction in House Bill260. This change is a reduction in adult psychosocial rehabilitation (PSR) service homes.
Summary: Provides for an additional diagnosis of mental health and mental retardation under the Assertive Community Treatment program and find it approvable.
Summary: This SPA provides clarification of current practices regarding Home Health Services, Personal Care Services, and Hospice. This SPA was in response to concerns identified through the companion letter dated June 17, 2011 for CMS approval of NE State Plan Amendment 09-08.
Summary: Targeted Case Management services provided to Medicaid-eligible expectant first time parents, first time parents, infants, and toddlers under the age of three years who are enrolled and participating in Ohios Help Me Grow Home Visiting Program.
Summary: This amendment seeks to eliminate Targeted Case Management services for Individuals with HIV, Pregnant Woman, Persons Identified as Seriously Mentally Ill or Seriously Emotionally Disturbed, Low Functioning Severely and Persistently Mentally Ill Adults Needing Assertive Community Treatment (ACT), Individuals with Developmental Disabilities, and Case Management for. Elderly or Disabled Individuals Diverted/Deinstitutionalized from Nursing Facilities from the State Plan.
Summary: Extends the sunset date of February 29, 2012 to January 1, 2013 in the North Carolina State Plan for Personal Care Services (PCS) provided to individuals living in a private residence, as well as PCS furnished in an Adult Care Home (ACH), Family Care Home, or a Supervised Living Home.
Summary: Clarifies the service limitations and provider qualifications for home health services, therapies, diagnostic services, and private duty nursing.
Summary: Adds home and community-based services (HCBS) to the Medicaid State plan for individuals with chronic mental illness, under the authority of Section 1915(i) of the Social Security Act (the Act).