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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: in which the state increases the income eligibility level for pregnant individuals and provide coverage to lawfully residing pregnant individuals.
Summary: This SPA updated the scope of the state’s coverage for the mandatory former foster care youth eligibility group consistent with the changes in the federal law.
Summary: This is to amend the State Plan to change state plan page Attachment 2.6-A Page 26 to reflect that the state uses the maximum Community Spouse Resource standard permissible under federal law.
Summary: Amends the State Plan to remove page T1 from the State Plan which allowed North Dakota to conduct presumptive eligibility for the month of January 2014.
