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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.
Summary: This State Plan amendment makes conforming changes to the SPA to extend the current three percent (3%) rate reduction for nursing facilities that is currently set to expire on June 30, 2015. This rate reduction will be extended for the period July 1, 2015 through June 30, 2017.
Summary: This State Plan Amendment makes conforming changes to the SPA to extend the current three percent (3%) rate reduction for inpatient hospital services that is currently set to expire on June 30, 2015. This rate reduction will be extended for the period July 1, 2015 through June 30, 2017.
Summary: Increases Medicaid Reimbursement to Intermediate Care Facilities for Individuals with Intellectual Disabilities and Community Residential Facilities for the Developmentally Disabled by 3% from the Methodology in Effect on December 31, 2013.
Summary: This SPA makes changes to the State Plan to document the State's Collection of Federal Medical Assistance Percentages (FMAP) funds available for expenditures for medical assistance furnished to individuals enrolled in the new adult group created by the Affordable Care Act.
Summary: This SPA extends a 5% reduction in Medicaid payments for Nursing Facility services and a 3% reduction in Medicaid payments for Intermediate Care Facilities for the Developmentally Disabled services. This SPA reduces the NF reduction at 3% and reduces the ICF/IID and CRF/DD reduction to 1%.