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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 amendment is to provide 12 months of continuous eligibility for children under age 19 per section 5112 of the Consolidated Appropriations Act 2023.
Summary: This SPA corrects a typographical error that was made in MO SPA 23-0030, relating to the resource standard for a couple in the Ticket to Work Basic and Medical Improvements eligibility groups.
Summary: State made changes to several to the income and resource disregards applied in the eligibility determinations for the optional Ticket to Work and Work Incentives Improvement Act (WEEIAA) eligibility group.
Summary: Missouri adopts the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Summary: Removes citizenship, national status, and immigration status as edibility requirements for any PE program, including hospital PE. It also allows additional provider types to serve as qualified entities to make PE determinations for the Adult Group, Parent/Caretaker Relatives, Former Foster Care Youth, Children, and Pregnant Women.
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to allow 12 months continuous eligibility for children under age 19, waive cost sharing for testing services, modify the enforcement of premium and spendown obligations during the emergency period for certain populations, and allow exceptions to the preferred drug list if shortages occur.
Summary: Incorporates the MAGI-based eligibility process requirements, including the single streamlined application, into Missouri's Medicaid state plan in accordance with the Affordable Care Act.
Summary: Describes the Modified Adjusted Gross Income (MAGI)-based hospital presumptive eligibility criteria covered under Missouri's Medicaid State Plan.
