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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: Effective June 1, 2021 and expiring on May 31, 2023, this amendment provides an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
Summary: reauthorizes and continues a series of additional classes of DSH payments and two targeted supplemental payments for qualifying private acute care hospitals.
Summary: Reauthorizes and continues a series of additional classes of DSH payments and two targeted supplemental payments for qualifying private acute care hospitals.
Summary: This amendment continues Pennsylvania's authority to make supplemental payments to qualifying nonpublic nursing facilities in a county of the eighth class
Summary: Effective February 28, 2021, this amendment continues Pennsylvania's authority to make supplemental payments to non-public special rehabilitation nursing facilities.
Summary: Effective February 28, 2021, this amendment continues Pennsylvania's authority to make supplemental payments to non-state government owned nursing facilities with high Medicaid occupancy rates.