1.1-A Attorney General's Certification
1.1-B Waivers under the Intergovernmental Cooperation Act
1.2-A Organization and Function of State Agency
1.2-B Organization and Function of Medical Assistance Unit
1.2-C Professional Medical and Supporting Staff
1.2-D Description of Staff Making Eligibility Determination
2.1-A DEFINITION OF HEALTH MAINTENANCE ORGANIZATION
2.2-A Groups Covered and Agencies Responsible for Eligibility Determinations
SPA SC 22-0004 CMS Approved MACPro template and cover letter
- Supplement 1 - Reasonable Classifications of Individuals Under the Age of 21, 20, 19 and 18
- Supplement 2 - Definitions of Blindness and Disability (Territories only)
- Supplement 3 - Method of Determining Cost Effectiveness of Caring for Certain Disabled Children at Home
2.6-A Eligibility conditions and Requirements (States Only)
- Supplement 1 - Income Eligibility Levels - Categorically Needy, Medically Needy and Qualified Medicare Beneficiaries
- Supplement 2 - Resource Levels - Categorically Needy, Including Groups with Incomes Up to a Percentage of the Federal Poverty Level, Medically Needy, and other Optional Groups
- Supplement 3 - Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid
- Supplement 4 - Section 1902(f) Methodologies for Treatment of Income that Differ from those of the SSI Program
- Supplement 5 - Section 1902(f) Methodologies for Treatment of Resources that Differ from those of the SSI Program
- Supplement 5a - Methodologies for Treatment of Resources for Individuals With Incomes Up to a Percentage of the Federal Poverty Level
- Supplement 6 - Standards for Optional State Supplementary Payments
- Supplement 7 - Income Levels for 1902(f) States - Categorically Needy Who Are Covered Under Requirements More Restrictive than SSI
- Supplement 8 - Resource Standards for 1902(f) States - Categorically Needy
- Supplement 8a - More Liberal Methods of Treating Income Under Section 1902(r)(2) of the Act
- Supplement 8b - More Liberal Methods of Treating Resources Under Section 1902(r)(2) of the Act
- Supplement 8c - State Long-Term Care Insurance Partnership
- Supplement 9 - Transfer of Resources
- Supplement 10 - Consideration of Medicaid Qualifying Trusts--Undue Hardship
2.6-A Eligibility Conditions and Requirements (Territories Only)
- Supplement 1 - Income Eligibility levels - Categorically Needy, Medically Needy, and Qualified Medicare Beneficiaries
- Supplement 2 - Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid
- Supplement 3 - Resource Levels for Optional Groups with Incomes Up to a Percentage of the Federal Poverty Level and Medically Needy
- Supplement 4 - Consideration of Medicaid Qualifying Trusts-Undue Hardship
- Supplement 5 - More Liberal Methods of Treating Income Under Section 1902(r)(2) of the Act
- Supplement 6 - More Liberal Methods of Treating Resources Under Section 1902(r)(2) of the Act
- 3.1a limitation supplement
- Supplement 1 - Case Management Services
- Supplement 2 - Alternative Health Care Plans for Families Covered Under Section 1925 of the Act
- Supplement 3
- Supplement 4
3.1-B Amount, Duration, and Scope of Services Provided Medically Needy Groups
3.1-C Standards and Methods of Assuring High Quality Care
3.1-D Methods of Providing Transportation
3.1-E Standards for the Coverage of Organ Transplant Procedures
3.1 H HEALTH OPPORTUNITY ACCOUNTS DEMONSTRATION PROGRAM
4.11-A Standards for Institutions
4.14-A Single Utilization Review Methods for Intermediate Care Facilities
4.14-B Multiple Utilization Review Methods for Intermediate Care Facilities
4.17-A Determining that an Institutionalized Individual Cannot Be Discharged and Returned Home.
4.18-A Charges Imposed on Categorically Needy
4.18-B Medically Needy - Premium
4.18-C Charges Imposed on Medically Needy and Other Optional Groups
4.18-D Premiums Imposed on Low Income Pregnant Women and Infants
4.18-E Premiums Imposed on Qualified Disabled and Working Individuals
4.19-A Methods and Standards for Establishing Payment Rates - Inpatient Hospital Care
4.19-B METHODS AND STANDARDS FOR ESTABLISHING PAYMENT RATES - OTHER TYPES OF CARE
- Supplement 1 - Methods and Standards for Establishing Payment Rates for Title XVIII Deductible/Coinsurance
- Supplement 2 - Payment for Other Provider Preventable Conditions to include the three Never Events
- Supplement 3 - Increased Primary Care Service Payment
4.19-C Payments for Reserved Beds
4.19 E Timely-Claims Payment - Definition of Claim
4.20-A Conditions for Direct Payment for Physicians' and Dentists' Services
4.22-A Requirements for Third Party Liability -Identifying Liable Resources
4.22-B Requirements for Third Party Liability--Payment of Claims
4.22-C State Method on Cost Effectiveness of Employer Based Group Health Plans
4.30 Sanctions for MCOs and PCCMs
4.32-A Income And Eligibility Verification System Procedures Requests To Other State Agencies
4.33-A Method For Issuance Of Medicaid Eligibility Cards To Homeless Individuals
4.34-A Requirements For Advance Directives Under State Plans For Medical Assistance
4.35-A Criteria for the Application of Specified Remedies for Nursing Facilities
4.35-B Alternative Remedies to Specified Remedies for Nursing Facilities
4.35-C Enforcement of Compliance for Nursing Facilities
4.35-D Enforcement of Compliance for Nursing Facilities
4.35-E Enforcement of Compliance for Nursing Facilities
4.35-F Enforcement of Compliance for Nursing Facilities
4.35-G Enforcement of Compliance for Nursing Facilities
4.35-H Enforcement of Compliance for Nursing Facilities
4.38 Disclosure Of Additional Registry Information
4.38-A Collection Of Additional Registry Information
4.39 Definition Of Specialized Services
4.39-A Categorical Determinations
4.40-A Survey and Certification Education Program
4.40-C Procedures for Scheduling and conduct of Standard Surveys
4.40-D Programs to Measure and Reduce Inconsistency
4.40-E Process for Investigations and complaints and Monitoring
4.42 Employee Education About False Claims Recoveries.
4.43 Cooperation with Medicaid Integrity Program Efforts
7.2-A Methods of Administration - Civil Rights (Title VI)
7.7-A Vaccine and Vaccine Administration at Section 1905(a)(4)(E) of the Social Security Act
7.7-B COVID-19 Testing at section 1905(a)(4)(F) of the Social Security Act
7.7-C COVID-19 Treatment at section 1905(a)(4)(F) of the Social Security Act