CMS Releases Medicaid SPA Templates for
January 10, 2025
The information from CMS (below) while directed at states is good news for all concerned and provides a useful overview of policy reforms to come with the obvious caveat that the Trump administration does have discretion and can try to rescind recent SPA approvals within the first 60 days of their approval. That makes the incoming administration the wild card with a relatively big stick.
Note the yellow highlighted info that speaks to the mandatory requirements for states relating to: 1) targeted case management services for justice-involved juveniles and, 2) mandatory Medicaid eligibility for juvenile populations. This includes (but is not limited to) foster care children and youth ages 18-26 who are 30 days away from release from a carceral setting.
Of course the devil is in the details.
And, here’s a link to a page on the DoH Website that tracks recent SPA submissions to CMS from NYS: https://www.health.ny.gov/regulations/state_plans/status/non-inst/index_2024.htm
———- Forwarded message ———
From: Center for Medicaid and CHIP Services (CMCS) <Medicaid.gov@subscriptions.cms.hhs.gov>
Date: Fri, Jan 10, 2025 at 1:33 PM
Subject: CMS Releases Medicaid SPA Templates for Justice-Involved Juveniles Requirements
To: <nyscouncil@albany.twcbc.com>
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January 10, 2025 CMS Releases Three Medicaid State Plan Amendment Templates for Justice-Involved Juveniles Requirements Today, the Centers for Medicare & Medicaid Services (CMS) released three Medicaid State Plan Amendment (SPA) templates. These templates are designed to streamline state submission of the required and optional state plan requirements as a result of the passage of sections 5121 and 5122 of the Consolidated Appropriations Act, 2023 (CAA, 2023).The first two, listed below, are mandatory for states. SPAs should be submitted no later than March 31, 2025 for a January 1, 2025 effective date as required by the CAA, 2023. Attachment 3.1-M Page 1 and 2– Mandatory Coverage of Eligible Juveniles who are Inmates of a Public Institution Post Adjudication of Charges; and Supplement to Attachment 3.1-A and 3.1-B– Targeted Case Management Services for Eligible Juveniles. The third template is optional for states, and available for submission no earlier than January 1, 2025. SPAs should be submitted by the last day of the quarter for which coverage is requested to be effective. Attachment 3.1-M Page 3 – Optional Coverage for Eligible Juveniles Who are Inmates of a Public Institution Pending Disposition of Charges. All of these templates are also available on the Medicaid SPA Toolkit page of Medicaid.gov. Additional Medicaid Model Data Lab (MMDL) SPA templates are being developed for coverage under for the Children’s Health Insurance Program (CHIP) and will be sent in a future update. |