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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 30 results
Transmittal Number: NE-23-0016
State: Nebraska
Summary: This Amendment approves the newly implemented iServe electronic application.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: NE-24-0017
State: Nebraska
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 extend the waiver of premiums for the Buy-In program for Working Adults with Disabilities and the Buy-In program for Children with Disabilities.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: NE-24-0016
State: Nebraska
Summary: This amendment is to make changes to the Nebraska State Plan regarding cost-sharing provisions for certain Medicaid beneficiaries enrolled in the Medicaid Insurance for Workers with Disabilities (MIWD) program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-24-0004
State: Nebraska
Summary: This Amendment implements Section 5112 of the Consolidated Appropriations Act, 2023. This section provides 12 months of continuous eligibility for children enrolled in Medicaid.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0013
State: Nebraska
Summary: This SPA increase the aged, blind, or disabled personal needs allowance (PNA) from $60 to $75 for individuals, and from $120 to $150 for couples.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NE-23-0014
State: Nebraska
Summary: With this Amendment the state will disregard the resource value of certain vehicles under the authority of section 1902(r)(2) of the Act.
Approval Date:
Effective Date:
Topics:
  • Medicaid and CHIP Program (MACPro)
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0005
State: Nebraska
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 extend Premiums and Cost-sharing provisions.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-23-0004
State: Nebraska
Summary: The State 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.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: NE-21-0012
State: Nebraska
Summary: Implements the Ticket to Work Basic and Medically Improved Coverage Groups.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: NE-19-0014
State: Nebraska
Summary: This state plan amendment establishes an Alternative Benefit Plan to serve persons eligible for Medicaid under Section 1902(a)(10)(A)(VIII) of the Social Security Act. This plan will offer Basic benefits equal to the current State Plan benefits offered in the state minus adult dental, vision, and over the counter drugs.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT