State Plan Under Title XIX of the Social Security Act

Select the desired section number below (or view the attachment listing here).  Keep in mind that even though the state plan has been separated into two sections to reduce download time, some files still are quite large and may time a few minutes to load.

The material on these pages is in PDF (portable document format) and must be viewed with specialized software, such as Adobe Acrobat reader. You will need to have this or a similar PDF reading program installed on your computer to view and print these files. Adobe Acrobat reader is a free program that's easy to download and install. Get Adobe Acrobat reader by clicking the link below.

Get the Adobe Reader

For copies of materials on these pages in alternate formats, contact the DMS (Department for Medicaid Services).

Each section below lists the section number, section title and the effective date.

Table of Contents

1.0 State Plan Submittal Statement (01/01/1992)

1.1 Designation and Authority (03/01/1986)

1.2 Organization for Administration (03/01/1986)

1.3 Statewide Operation (04/01/1974)

1.4 State Medical Care Advisory Committee (04/01/1974)

1.5 Pediatric Immunization Program (10/01/1994)

2.1 Application, Determination of Eligibility and Furnishing Medicaid (11/01/2001)

2.2 Coverage and Conditions of Eligibility (01/01/1992)

2.3 Residence (10/01/1987)

2.4 Blindness (10/01/1987)

2.5 Disability (01/01/1992)

2.6 Financial Eligibility (04/01/1992)

2.7 Medicaid Furnished Out of State (10/01/1986)

3.1 Amount, Duration and Scope of Services (10/01/1999)

3.2 Coordination of Medicaid with Medicare and Other Insurance (01/01/1998)

3.3 Medicaid for Individuals Age 65 or Over in Institutions for Mental Diseases (11/23/1976)

3.4 Special Requirements Applicable to Sterilization Procedures (02/06/1979)

3.5 Families Receiving Extended Medicaid Benefits (01/01/1992)

3.6 - REMOVED - Ambulatory Prenatal Care for Pregnant Women 

4.1 Methods of Administration (10/01/1987)

4.2 Hearings for Applicants and Recipients (04/01/1974)

4.3 Safeguarding Information on Applicants and Recipients (10/01/1987)

4.4 - REMOVED - Medicaid Quality Control

4.5 Medicaid Agency Fraud Detection and Investigation Program (10/01/1988)

4.6 Reports (10/01/1977)

4.7 Maintenance of Records (10/01/1977)

4.8 Availability of Agency Program Manuals (02/10/1974)

4.9 Reporting Provider Payments to the Internal Revenue Service (02/18/1974)

4.10 Free Choice of Providers (02/01/1992)

4.11 Relations with Standard-Setting and Survey Agencies (02/18/1974)

4.12 Consultation to Medical Facilities (10/01/1973)

4.13 Required Provider Agreement (11/01/2001)

4.14 Utilization/Quality Control (10/01/1992)

4.15 Inspections of care in Intermendiate Care Facilities for the mentally retarded, facilities providing Inpatient Psychiatric Services for individuals under 21, and Mental Hospitals (10/01/1992)

4.16 Relations with State Health and Vocational Rehabilitation Agencies and Title V Grantees (01/01/1989)

4.17 Liens and Recoveries (10/01/1993)

4.18 Recipient Cost Sharing and Similar Charges (11/01/2003)

4.19 Payment for Services (10/01/1994)

4.20 Direct Payments to Certain Recipients for Physicians or Dentists Services (09/16/1977)

4.21 Prohibition against Reassignment of Provider Claims (07/01/1981)

4.22 Third Party Liability (01/01/1996)

4.23 Use of Contracts (07/01/1984)

4.24 Standards for Payments for Skilled Nursing and Intermediate Care Facility Services (07/01/1989)

4.25 Program for Licensing Administrators of Nursing Homes (10/01/1973)

4.26 Drug Utilization Review Program (04/01/1993)

4.27 Disclosure of Survey Information and Provider Contractor Evaluation (10/15/1979)

4.28 Appeals Process (01/01/1994)

4.29 Conflict of Interest Provisions (07/01/1980)

4.30 Exclusion of Providers and Suspension of Practitioners Convicted and other individuals (07/01/1989)

4.31 Disclosure of Information by Providers and Fiscal Agents (04/01/1990)

4.32 Income and Eligibility Verification System (04/01/1990)

4.33 Medicaid Eligibility Cards for Homeles Individuals (07/01/1989)

4.34 Systematic Alien Verification for Entitlements (10/01/1988)

4.35 Remedies for Skilled Nursing and Intermediate Care Facilities that do not met Requirements of Participation (10/01/1989)

4.36 Required Coordination between the Medicaid and WIC programs  (01/01/1992)

4.37 - REMOVED

4.38 Nurse Aide Training and Competency Evaluation for Nursing Facilities (02/01/1992)

4.39 Preadmission Screening and Annual Resident Review in Nursing Facilities (01/01/1994)

4.40 Survey and Certification Process (01/01/1993)

4.41 Resident Assessment for Nursing Facilities (01/01/1993)

5.1 Standards of Personnel Administration (09/30/1977)

5.2 Reserved (05/22/1980)

5.3 Training Programs: Sub Professional and Volunteer Program (02/27/1978)

6.1 Fiscal Policies and Accountability (06/30/1976)

6.2 Cost Allocation (10/01/1982)

6.3 State Financial Participation (06/30/1976)

7.1 Plan Amendments (01/01/1992)

7.2 Nondiscrimination (01/01/1992)

7.3  - REMOVED - Maintenance of AFDC Effort

7.4 State Governors Review (11/01/2001)

Please click here to view the attachment listing.