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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 State is assuring compliance with the Provider Screening and Enrollment Requirements in accordance with section 6401 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148.
Summary: This amendment provides for Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Summary: Modifies the coverage description for dentures by clarifying that certain services in preparation for dentures are not part of the annual/biennial denture expenditure as they are already covered under dental services.
Summary: Increases monthly personal needs allowance for institutionalized individuals, and adjust eligibility standard for optional categorically needy groups