An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 repeal the provisions governing radiation utilization management services in order to align with the current fee-for-service and managed care practices relative to prior authorization of high-end radiology services.
Summary: Purpose of SPA is to establish an all inclusive reimbursement rate that excludes all add-ons for the entity that has a cooperative endeavor agreement with Louisiana State University.
Summary: Proposes to allow the state to enter into a single, state-specific Supplemental Rebate Agreement (SRA) with drug manufacturer(s). The state will initially focus on providing an unlimited supply of HCV antiviral agent drugs, in exchange for the state paying a capped amount of money each year for these drugs.
