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Medicaid State Plan Amendments
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: Allow residents in professional counseling, psychology and supervisees in social work who completed the education requirements for licensure but have yet to meet the experience requirements to provide billable outpatient behavioral health services to Medicaid members. Removed also is the 21-day limit on inpatient psychiatric services.
Summary: Updates DMAS wording to align with the Department of Behavioral Health and Developmental Services requirements for services provided in Therapeutic Group Homes by non-licensed and non-registered staff.