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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 authorizes the coverage and payment of Medically Necessary Durable Medical Equipment, Prosthetics, Orthotics and Supplies as part of the American Samoan Medicaid State Plan.
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: This SPA proposes to bring New Mexico into compliance with the pharmacy reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC) (81 FR 5170) published on February 1, 2016.
Summary: This plan amendment makes a technical change to select a new base benchmark plan in accordance with Alternate Benefit Plan conforming changes requirements.
Summary: This plan amendment eliminates Medicaid eligibility to individuals formerly in other states' foster care systems who have turned age 18 or aged out of the foster care system.
Summary: This amendment proposes coverage and reimbursement of emergency and certain other medical services furnished by off-island and out-of-country providers, effective April 1, 2017.
Summary: This plan amendment recognizes Licensed Birth Centers as providers in the New Mexico Medicaid Program for reimbursement, but does not include any payment for room and board.
