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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 11 results
Transmittal Number: ID-19-0010
State: Idaho
Summary: Modifies the state’s primary care case management (PCCM) program, known as Healthy Connections, to allow for the state’s new value-based model of care
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: ID-20-0013
State: Idaho
Summary: Removes the state’s 1915(l) option from the state plan, as Idaho is transitioning coverage of substance use disorder (SUD) treatment in institutions of mental disease from the state plan to the state’s SUD section 1115(a) demonstration, known as Idaho Behavioral Health Transformation
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: ID-20-0001
State: Idaho
Summary: The purpose of this SPA is to update the State Plan to reflect the 2020 income and resource limits for the State of Idaho
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: ID-20-0005
State: Idaho
Summary: Amends State Plan Attachment 3.1-F to add the Adult Group to the list of eligibility group that are included and enrolled into the

state’s Healthy Connections program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Current State Plan
Links:
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Transmittal Number: ID-19-0008
State: Idaho
Summary: Amends State Plan Attachment 3.1-F to implement a fixed enrollment process for beneficiaries that are enrolled into

the state’s Healthy Connections program
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: ID-19-0023
State: Idaho
Summary: Add 1915(I) State Plan Option for reimbursement of state plan substance use disorder services delivered in an IMD setting.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
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Transmittal Number: ID-19-0020
State: Idaho
Summary: Amends Idaho’s Basic Alternative Benefit Plan (Basic ABP) to add Partial Hospitalization services to the Basic ABP
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Current State Plan
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Transmittal Number: ID-19-0007
State: Idaho
Summary: Expand Medicaid coverage to the adult group described in Title 42 of the Code of Federal Regulations (CFR) §435.119.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: ID-12-007
State: Idaho
Summary: This SPA amends Idaho's current 1915(i) State plan benefit by adding clarifying language to the services available to eligible participants. In addition, this SPA adds language to indicate that on June 30, 2013, Intensive Behavioral Intervention (IBI), IBI consultation, Developmental Therapy (DT), and Children's Service Coordination (CSC) will sunset in Idaho's Basic and Enhanced Benchmark Benefit plans.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
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Transmittal Number: ID-09-014B
State: Idaho
Summary: This amendment represents a complete rewrite of Attachment 4.19-D for ICF/MRs. and freezes ICF/MR per diem rates for SFY 2010 to the rates in place on June 30, 2009.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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