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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: The SPA exempts structured family caregiver payments as countable income in determining income eligibility for most non-MAGI based eligibility groups.
Summary: Indiana 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.
Summary: This amendment target zero cost sharing to individuals in any eligibility group who are eligible for extended postpartum coverage under section 1902(e)(16) of the Social Security Act.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to suspend all cost sharing.
Summary: Revises Medicaid reimbursement rates for medical equipment, medical supplies, and vision supplies and reestablishes the state's previous reimbursement methodology on a time-limited basis.
Summary: Adds presumptive eligibility for parents and other caretaker relatives, pregnant women, infants and children under age 19, adult group, former foster children, and individuals eligible for family planning services; and Expands the definition of qualified providers to include acute care hospitals, psychiatric hospitals, community mental health centers, federally qualified health centers, rural health centers and local health departments.