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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: Proposes to align Ohio’s Alternative Benefit Plan (ABP) with the Medicaid state plan by adding the single pharmacy benefit manager pre-paid ambulatory health plan to the ABP.
Summary: Proposes to update Ohio's Alternative Benefit Plan to implement a Prepaid Inpatient Health Plan as part of the state's OhioRISE initiative for individuals eligible under Section 1902(a)(10)(A)(VIII) of the Social Security Act.
Summary: To align Ohio's Alternative Benefit Plan with the Medicaid State Plan provisions for coverage and payment for evaluation and management services provided by chiropractors.
Summary: To establish coverage and payment provisions for targeted case management for a new target group consisting of children and youth with complex behavioral needs as part of the OhioRISE
Summary: The purpose of this amendment to the South Carolina Title XIX State Plan is to remove reference to Adult Day Healthcare (ADHC) transportation within a 15-mile radius of ADHC centers.
Summary: This amendment proposes to update the state plan by adding coverage and payment provisions for evaluation and management services provided by chiropractors, as permitted under state law.
Summary: This amendment proposes to establish coverage and payment for mobile response and stabilization services and updates the payment rates for child and adolescent needs and strengths as part of the OhioRISE program.
Summary: Proposes to remove telehealth references from the state plan since the coverage provisions and payment rates for services delivered via telehealth are the same as services delivered face-to-face.
