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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: This amendment is to adopt the optional eligibility group described in section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act, which serves working individuals who have disabilities and incomes below 250 percent of the federal poverty level.
Summary: To apply disregards, under the authority of section 1902(r)(2) of the Social Security Act, in determining eligibility for certain non-MAGI groups for settlement payments related to the February 3, 2023, train derailment in East Palestine, Ohio.
Summary: This amendment is to amend its hospital presumptive eligibility SPA and presumptive eligibility program to include a performance standard for qualified entities or hospitals determining presumptive eligibility for pregnant women and/or children.
Summary: To memorialize the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under the state's plan.
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 premiums for the Medicaid Buy-In for Workers with Disabilities (MBIWD) effective 5/12/23 through 7/31/23. This provision was approved in disaster relief SPA OH-22-0013 effective 7/1/21.
Summary: To adopt new income and resource disregards, authorized under section 1902(r)(2)(A) of the Social Security Act, for the eligibility determinations of the non-MAGI groups covered under the state plan.
Summary: To permanently elect the option to extend the Reasonable Opportunity Period for non-citizens who are making a good faith eff ort to resolve any inconsistencies or obtain any necessary documentation, or the agency needs more time to complete the verifi cation process. In response to the COVID-19 Public Health Emergency that started March 13, 2020, Ohio elected to allow an extension to the ROP for noncitizens through an approved Disaster Relief SPA (SPA 20-012) due to the Public Health Emergency. With the approval of this state plan amendment, Ohio is electing to permanently allow extensions to the ROP for noncitizens.
Summary: Updates post-eligibility treatment of income exclusions in accordance with the Stephen Beck Jr. Achieving a Better Life Experience (ABLE) Act and recently passed State legislation.
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 disregard of accumulated resources that was approved effective 11/2/20 in Disaster Relief SPA OH-22-0012.
