State Plan

Section Subject
Index Index of the State Plan
Table of Content Table of Contents and State Plan Submittal Statement
Section 1 Single State Agency Organization
Section 2 Coverage and Eligibility
Section 3 Services: General Provisions
Section 4 General Program Administration
Section 5 Personnel Administration
Section 6 Financial Administration
Section 7 General Provisions
Attachment 1.1-A Attorney General's Certification
Attachment 1.2A, 1.2B, 1.2C & 1.2D Organization
Attachment 2.1A Definition of HMO
Attachment 2.2-A Groups Covered and Agencies Responsible for Eligibility Determination
Attachment 2.6-A Eligibility Conditions and Requirements
Attachment 3.1-A 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 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 Standards Established and Methods Used to Assure High Quality Care
Attachment 3.1D Methods Used in Assuring Necessary Transportation
Attachment 3.1-E Standards for the Coverage of Organ Transplant Services
Attachment 4.11-A Standards for Institutions
Attachment 4.14B Methods To Be Used in Providing Utilization Review in Intermediate Care Facilities
Attachment 4.16-A Cooperative Arrangement with State Health and Vocational Rehabilitation Agencies
Attachment 4.17-A Liens and Adjustments or Recoveries
Attachments 4.18-A; 4-18-C; 4.18-D and 4.18-E Co-pay, Cost-sharing and Premiums
Attachment 4.19-A Methods and Standards for Establishing Payment Rates for Inpatient Hospital Services
Attachment 4.19B Methods and Standards for Establishing Payment Rates -Other Types of Care
Attachment 4.19-C Methods of Reimbursing for Reserved Beds in Nursing Facilities and Intermediate Care Facilities for the Mentally Retarded
Attachment 4.19D Methods and Standards for Establishing Payment Rates - Nursing Facilities
Attachment 4.19E Timely Claims Payment - Definition of Claim
Attachment 4.20-A Condition for Direct Payment for Physicians' and Dentists' Services
Attachment 4.22-A & 4.22-B Third Party Liability
Attachment 4.22-C State Method on Cost Effectiveness of Employer-Based Group Health Plans
Attachment 4.30 Sanction for Psychiatric Hospitals
Attachment 4.32-A Income and Eligibility Verification System Procedures Requests to Other State Agencies
Attachment 4.33-A Method for Issuance of Medicaid Eligibility Cards to Homeless Individuals
Attachment 4.34-A Requirements for Advance Directives Under State Plans for Medical Assistance
Attachment 4.35-A, B, C, D, E, F, G, & H Enforcement of Compliance for Nursing Facilities
Attachment 4.38 & 4.38A Registry Information
Attachment 4.39 Definition of Specialized Services
Attachment 4.39-A Categorical Determinations
Attachments 4.40-A; 4.40-B; 4.40-C; 4.40-D & 4.40-E Eligibility Conditions and Requirements - Survey and Certification, etc.
Attachment 4.42-A Employee Education About False Claim Recoveries
Attachment 5.1A Merit System
Attachment 7.2-A Methods of Administration

 

MAGI Eligibility & Methods