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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: Transitions Illinois children enrolled through the sperate CHIP Program to Medicaid expansion coverage through the Optional Targeted Low Income Children eligibility group.
Summary: This amendment removes coverage of the Nurse Advice Line from the state plan as the result of increased access to primary care advice through telehealth.
Summary: This State Plan Amendment adds coverage of the routine patient costs furnished in connection with pai1icipation in clinical trials as outlined in Section 1905(gg) in the Social Security Act for the population currently served in Missouri’s Alternative Benefit Plan (ABP).
Summary: Tennessee is submitting this SPA to transfer responsibilities for surveying healthcare facilities in Tennessee from the Department of Health to the Health Facilities Commission (HFC).
Summary: Proposes to establish coverage and payment for intensive home-based treatment (IHBT), which is a component of the OhioRISE program, under the early and periodic screening, diagnosis, and treatment benefit for individuals under age 21.