State Plan Documents

1. Medicaid State Plan Documents
A State Plan is a contract between a state and the Federal Government describing how that state administers its Medicaid program. It gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its Medicaid 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 requirements that States must meet to participate. States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan. For example, the state may wish to implement changes required by Federal or state law, Federal or state regulations, or court orders. States also have the flexibility to request permissible program changes, make corrections, or update their plan with new information.

Send your questions or comments to:
Alisa Horn - ahorn@dhs.state.ia.us

2. Children's Health Insurance Program (CHIP) State Plan Documents 
The Children’s Health Insurance Program (CHIP). In Iowa, CHIP is known as the Healthy and Well Kids in Iowa (hawk-i) program. The hawk-i program has a State Plan similar to Medicaid that describes how that state administers its program. The State Plan gives an assurance that a state abides by Federal rules and may claim Federal matching funds for its CHIP activities. It sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative requirements that States must meet to participate. States frequently send a state plan amendment, otherwise referred to as a SPA, to the Centers for Medicare and Medicaid Services (CMS) for review and approval. There are many reasons why a state might want to amend their state plan. For example, the state may wish to implement changes required by Federal or state law, Federal or state regulations, or court orders. States also have the flexibility to request permissible program changes, make corrections, or update their plan with new information

Send your questions or comments to:
Anna Ruggle - aruggle@dhs.state.ia.us