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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.
Updates the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care Workers to continue the methodology for an additional two years through state fiscal year 2025.
Continues the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care Workers for Personal Care Services for an additional two years through SFY 2025.
Summary: This plan amendment updates the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care
Workers and also updates the reimbursement section and reference to the fee schedule.
Summary: This Medicaid State Plan Amendment (SPA) provides for the transformation of MO HealthNet nursing facility reimbursement rates by establishing a new reimbursement methodology.
Summary: This plan amendment updates the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care
Workers and also updates the Personal Care Services (PCS) reimbursement section and reference to the fee schedule.
Summary: This SPA adds a value-based supplemental payment for Home and Community Based Personal Care Providers. Based upon the information provided by the State, we have approved the amendment with an effective date of February 1, 2023.