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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: Proposes to add coverage allowing Doula Services to provide support for pregnant individuals throughout the perinatal period to the Title XIX and State Plan
Summary: Increase the Blind Federal Poverty Level (FPL) and the Aged and Disabled FPL program income limits by increasing the income disregard to all countable income above the Supplemental Security Income/State Supplementary Payment (SSI/SSP) standard
Summary: Authorizes $67,250,000 in Charity Care Subsidy payment under New Jersey’ s DSH program for the first three months of the 2021 DSH state plan rate year (SPRY) which runs con-currently with the state fiscal year (July 1, 2020 to June 30, 2021
Summary: Removes Imperial, Los Angeles and Sacramento Counties from and add Mariposa and Placer Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Medically Fragile Individuals” TCM group.
Summary: Removes Imperial County and adds Mariposa County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Children Under the Age of 21” TCM group.
Summary: Removes Alameda, Imperial and Los Angeles Counties from and add Mariposa County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease” TCM group.
Summary: Removes Imperial County from and add Mariposa, Placer and Sacramento Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes” TCM group
Summary: Removes Humboldt, Imperial, and Sacramento Counties from and add Mariposa and Placer Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization” TCM
