State Plan

The State Plan is the officially recognized declaration describing the nature and scope of the Puerto Rico Medicaid program. As provided in Section 1902 of the Social Security Act (ACT), the Plan was developed by our state and approved by the United States Department of Health and Human Services (DHHS). Without a State Plan, Puerto Rico would not be eligible for federal funding for the provision of Medicaid services. In essence, the Plan is the agreement that our state will comply with the requirements of the Act and the official DHHS emissions.

State Plan
Section Subject Download Document
Section 1 Public Law Single State Agency Organization
Section 2 Coverage and Eligibility Organization
Section 3 Services: General prvisions
Section 4 General Program Administration
Section 5 Personnel Administration
Section 6 Financial Administration
Section 7 General provisions
List of Attachments (Part 1 of 2) Attachment 1
List of Attachments (Part 2 of 2) Attachment 2
Amendments Amendments