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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 clarifies coverage for Private Duty Nursing and will establish a monthly service limit that would be allowed in combination with the limit on home health services.
Summary: This amendment provides a 4% inflationary rate increase for Rural Health Clinics that enrolled as Medicaid providers before 12/31/12 to receive a one- time adjustment to their rate based on the 2013 Medicare cost report.
Summary: Update the levels of care for ambulatory behavioral health services with the American Society of Addiction Medicine (ASAM) and to update the annual limit of Medicaid-covered, outpatient ambulatory behavioral services.
Summary: This amendment updates the State plan to provide for a four percent inflationary rate increase for psychiatric residential treatment facilities (PRTFs).
Summary: Makes Hospice Services Available to Children Eligible for Medicaid Without Forgoing Any Other Service To Which the Child is Entitled Under Medicaid for Treatment of the Terminal Condition.
