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Medicaid State Plan Amendments

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.

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Showing 1 to 10 of 20 results
Transmittal Number: DE-24-0015
State: Delaware
Summary: To modify the personal needs allowance amount for individuals residing in long-term care facilities.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-24-0005
State: Delaware
Summary: This amendment provides 12 months of continuous eligibility to children under age 19 enrolled in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
  • Program Administration
Links:
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Transmittal Number: DE-23-0005
State: Delaware
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to align the resumption of premiums with the end of the unwinding period and to assign dates to the temporarily extended suspension of member copays and premiums.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: DE-23-0002
State: Delaware
Summary: To adopt 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.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-22-0013
State: Delaware
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to Temporarily extend the suspension of member copays and premiums for six months following the end of the PHE.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: DE-22-0003-0
State: Delaware
Summary: To update Delaware State Plan to allow Medicaid recipients institutionalized in long term care facilities to retain an allowance of income to pay for guardianship costs.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-21-0009
State: Delaware
Summary: modifies the targeting criteria, by maintaining the minimum age as fourteen (14) and

removing the maximum age of twenty-five (25).
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Eligibility
Links:
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Transmittal Number: DE-19-0008
State: Delaware
Summary: This SPA updates Optional Eligibility Groups which includes Individuals Eligible for Cash Except for Institutionalization,  Individuals in Institutions Eligible under a Special Income Level and Ticket to Work Basic.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-14-0006
State: Delaware
Summary: Allows hospitals in the state to determine eligibility presumptively under the option. And the state to allow Medicaid coverage for individuals determined presumptively eligible under this provision.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: DE-13-006-MM
State: Delaware
Summary: Incorporates MAGI-Based Eligibility Process Requirements Including Single Streamlined Application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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