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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 amendment changes the requirements for mental health targeted case management (TCM) services for vulnerable adults and/or adults with developmental disabilities.
Summary: This amendment changes the requirements for mental health targeted case management (TCM) services for children under Minnesota’s Medicaid program.
Established coverage and reimbursement for a new Targeted Case Management (TCM) services for Integrated Care for Kids (InCK) in New Haven, CT. The target group is individuals under age 21 and those who are pregnant or up to twelve months postpartum residing in zip coded 0610 and 0611.
Summary: This State Plan Amendment outlines the processes that the State will implement to assure that the Urban Indian Organization(s) has (have) opportunities to review any future changes to the Medicaid State Plan prior to implementation.
Summary: This SPA removed pages that were left in the State Plan in error; by vacating coverage pages for Targeted Case Management for Individuals with a Traumatic Brain Injury and Targeted Case Management for Individuals in Pre - or Post - Adoption.
Summary: Incorporates the 2021 Healthcare Common Procedural Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Radiology and Independent laboratory fee schedules
Summary: Ubillpdates the billing code for the Health Promotion services. The change is being made to align with the current Medicare billing code for that service