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State Plan

Section Subject
Index (pdf, 61kb) Index of the State Plan
Table of Content (pdf, 707kb) Table of Contents and State Plan Submittal Statement
Section 1 (pdf, 539kb) Single State Agency Organization
Section 2 (pdf, 359kb) Coverage and Eligibility
Section 3 (pdf, 1,748kb) Services: General Provisions
Section 4 (pdf, 6,778kb) General Program Administration
Section 5 (pdf, 134kb) Personnel Administration
Section 6 (pdf, 128kb) Financial Administration
Section 7 (pdf, 131kb) General Provisions
Attachment 1.1-A (pdf, 46kb) Attorney General's Certification
Attachment 1.2A, 1.2B, 1.2C & 1.2D (pdf, 2,576kb) Organization
Attachment 2.1A (pdf, 69kb) Definition of HMO
Attachment 2.2-A (pdf, 3,188kb) Groups Covered and Agencies Responsible for Eligibility Determination
Attachment 2.6-A (pdf, 2,976kb) Eligibility Conditions and Requirements
Attachment 3.1-A (pdf, 7,129kb) Amount, Duration Scope of Medical Care and Services Provided to Categorically Needy; Limitation on amount duration and scope of medical care and services provider
Attachment 3.1-B (pdf, 4,744kb) Amount, Duration Scope of Medical Care and Services Provided Medically Needy Group (s); Limitation on amount duration and scope of medical care and services provider
Attachment 3.1-C (pdf, 270kb) Standards Established and Methods Used to Assure High Quality Care
Attachment 3.1D (pdf, 237kb) Methods Used in Assuring Necessary Transportation
Attachment 3.1-E (pdf, 310kb) Standards for the Coverage of Organ Transplant Services
Attachment 4.11-A (pdf, 137kb) Standards for Institutions
Attachment 4.14B (pdf, 77kb) Methods To Be Used in Providing Utilization Review in Intermediate Care Facilities
Attachment 4.16-A (pdf, 76kb) Cooperative Arrangement with State Health and Vocational Rehabilitation Agencies
Attachment 4.17-A (pdf, 155kb) Liens and Adjustments or Recoveries
Attachments 4.18-A;
4-18-C; 4.18-D and 4.18-E
(pdf, 421kb)
Co-pay, Cost-sharing and Premiums
Attachment 4.19-A (pdf, 4,530kb) Methods and Standards for Establishing Payment Rates for Inpatient Hospital Services
Attachment 4.19B (pdf, 9,538kb) Methods and Standards for Establishing Payment Rates -Other Types of Care
Attachment 4.19-C (pdf, 160kb) Methods of Reimbursing for Reserved Beds in Nursing Facilities and Intermediate Care Facilities for the Mentally Retarded
Attachment 4.19D (pdf, 2,050kb) Methods and Standards for Establishing Payment Rates - Nursing Facilities
Attachment 4.19E (pdf, 78kb) Timely Claims Payment - Definition of Claim
Attachment 4.20-A (pdf, 61kb) Condition for Direct Payment for Physicians' and Dentists' Services
Attachment 4.22-A & 4.22-B (pdf, 399kb) Third Party Liability
Attachment 4.22-C (pdf, 2,078kb) State Method on Cost Effectiveness of Employer-Based Group Health Plans
Attachment 4.30 (pdf, 2,126kb) Sanction for Psychiatric Hospitals
Attachment 4.32-A (pdf, 124kb) Income and Eligibility Verification System Procedures Requests to Other State Agencies
Attachment 4.33-A (pdf, 115kb) Method for Issuance of Medicaid Eligibility Cards to Homeless Individuals
Attachment 4.34-A (pdf, 2,167kb) Requirements for Advance Directives Under State Plans for Medical Assistance
Attachment 4.35-A, B, C, D, E, F, G, & H (pdf, 2,135kb) Enforcement of Compliance for Nursing Facilities
Attachment 4.38 & 4.38A (pdf, 54kb) Registry Information
Attachment 4.39 (pdf, 100kb) Definition of Specialized Services
Attachment 4.39-A (pdf, 108kb) Categorical Determinations
Attachments 4.40-A; 4.40-B; 4.40-C; 4.40-D & 4.40-E (pdf, 2,119kb) Eligibility Conditions and Requirements - Survey and Certification, etc.
Attachment 4.42-A (pdf, 150kb) Employee Education About False Claim Recoveries
Attachment 5.1A (pdf, 2,006kb) Merit System
Attachment 7.2-A (pdf, 2,838kb) Methods of Administration


MAGI Eligibility & Methods