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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 SPA extends enhanced reimbursement rates for certain primary care physician services established under Section 1202 of the Affordable Care Act to the period of January 1, 2015 through June 30, 2016.
Summary: Implements the provision of Section 1905(a)(28) of the Social Security Act regarding coverage and payment related to freestanding birth centers by indicating that there are no licensed or state approved freestanding birth centers in the state.
Summary: This SPA extends Medicaid coverage for an initial period of 12 months for low-income families who no longer qualify for Medicaid due to increased earned income or working hours from the caretaker relative's employment, or due to the loss of a time-limited earned income disregard.
Summary: This SPA proposes to implement presumptive eligibility conducted by hospitals in the Medicaid state plan in accordance with the Affordable Care Act.
Summary: This SPA defines the family size under MAGI methodology as counting a pregnant woman as one person when determining the family size of other individuals in the pregnant woman's household.
Summary: This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.
Summary: This SPA increases the monthly income standards for Domiciliary Care to reflect the 1.7% SSI Cost of Living Adjustment increase from the Social Security Administration.
Summary: This SPA incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Hawaii's approved Medicaid State Plan in accordance with the Affordable Care Act.
