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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: Will permit the District of Columbia’s Medicaid Program to increase the personal needs allowance standard for eligible institutionalized long-term care residents and set annual increases tied to the federal Cost-Of-Living adjustment (COLA) published by the Social Security Administration.
Summary: This amendment aligns Indiana Medicaid with the 21st Century Cures Act by including Electronic Visit Verification (EVV) assurance for home health services.
Summary: This amendment brings Indiana into compliance with the Inflation Reduction Act which required that all Advisory Committee on Immunization Practices (ACIP) recommended vaccines be covered by Medicaid without cost sharing.
Summary: This amendment will carve out basic life support and advanced life support ambulance transportation as well as nonemergency medical transportation (NEMT) services for nursing facility residents from the fee-for-service Medicaid NEMT brokerage.
Summary: This amendment makes changes to the Medicaid State Plan to allow for pharmacist reimbursement for services and prescriptions of hormonal contraceptive patches and self-administered hormonal contraceptives to eligible Medicaid recipients.
Summary: Description: Proposes to permit the District of Columbia Medicaid program to effectuate the coverage of doula services, effective October 1, 2022.
