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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: ontinues to provide coverage of children in the State Medicaid program, for 12 months if they would have lost Medicaid eligibility due to elimination of income due to disregards under the Modified Adjusted Gross Income methodologies.
Summary: To continue to provide coverage of children in the State's Medicaid program for 12 months if they would have lost Medicaid eligibility due the elimination of income disregards under the Modified Adjusted Gross Income methodologies which are effective January 1, 2014.
Summary: This SPA brings the Hospice benefit in the Rhode Island State Plan into compliance with Section 1902(a)(10) of the Social Security Act by ensuring that medical assistance for hospice care is available in an amount duration or scope that is no less than that provided under Medicare.
Summary: Revises the National Medicaid Pooling Initiative (NMPI) Supplemental Rebate Agreement (SRA) previously submitted to CMS on March 20, 2008 to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.