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Medicaid State Plan Amendments
A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increase the daily per diem rate paid to privately owned or operated nursing facilities and include a direct care add-on to reimburse ICF-IID for increased cost related to retaining and hiring direct care staff.
Summary: This amendment is to comply with coverage of routine patient costs for services and items provided to Medicaid beneficiaries in connection with participation in qualifying clinic trials, in accordance with the federal 2021 Consolidated Appropriations Act (CAA).
Summary: This amendment is to conform the state plan to Section 210 of the Consolidated Appropriations Act, 2021 (Public Law 116-260) related to mandatory Medicaid coverage of routine patients costs furnished in connection with participation in qualifying clinical trials.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payments for personal care services, private duty nursing, and behavioral health services using American Rescue Plan Act Section 9817 funds. The rate increases for personal care services are effective from 4/1/2021-3/31/2022, and the rate increases for private duty nursing and behavioral health services are effective from 7/1/2021-3/31/2022. This SPA also authorizes a payment increase for the administration of in-home COVID-19 vaccinations to beneficiaries who are homebound or otherwise hard-to-reach.
Summary: This amendment adds an assurance of coverage of routine patient services and costs associated with participation in qualifying clinical trials, as required by section 210 of the Consolidated Appropriations Act.