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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: This plan amendment purposes to reduce New Mexico's home equity limits for Medicaid coverage of long-term services and supports (LTSS) from $858,000 (the maximum amount permitted under law) to $572,000 (the minimum amount permitted under law).
Summary: Amends the Medicaid State Plan in order to continue the implementation of and make updates to the Person-Centered Medical Home Plus (PCMH+) program.
Summary: Amends the provisions governing home health services in order to comply with U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) regulations regarding face to face encounters, to clarify the provisions governing home health settings, and to remove the visit limit for adult recipients in order to align services with those received by the Medicaid expansion population.
Summary: This SPA implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act (1945 of the Social Security Act).
Summary: This SPA removes the requirements for Home Health Agency providers to complete cost reports. Additionally, language was changed to bring the State Plan into compliance with 42 CFR 440.70 by not restricting HHA Services to only members who are homebound.