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The Medicaid and Children's Health Insurance Program (CHIP) State Plans are Indiana's agreements with the federal government as to the design and operation of the Medicaid and CHIP programs, respectively. Indiana amends the state plans in order to inform the Centers for Medicare and Medicaid Services (CMS) of programmatic and financing changes and to secure legal authority for those changes, which ensures continued federal funding. Pursuant to IC 12-15-1.3-17.5, OMPP also submits state plan amendments (SPAs) to the State Budget Committee for review. Below are pending Medicaid and CHIP State Plan Amendments as well as links to state and federal resources for historical purposes.
SPA 15-0013-MM1 was submitted to CMS on 06/19/15 and approved by CMS on 09/16/2015. This SPA 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. Additionally, it adds 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. This SPA is effective 04/01/2015.
SPA 15-0022 was submitted to CMS on 06/25/15 and approved by CMS on 08/12/2015. This SPA makes conforming changes to the State Plan to extend the three percent rate reductions for home health agency services that were set to expire on June 30, 2015. These rate reductions will be extended for the period July 1, 2015 through June 30, 2017. The effective date of this SPA is 7/1/2015.
No pending CHIP SPAs at this time.
SPA 16-005 (Notice of Changes in Methods and Standards for Medicaid Payments for Enrolled Nursing Facilities and Large Private Intermediate Care Facilities for Individuals with Intellectual Disabilities and Community Residential Facilities for the Developmentally Disabled)
Indiana Medicaid State Plan at IndianaMedicaid.com