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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 proposes to adjust the Accountable Communities (AC) total cost of care (TCOC) reconciliation for year seven (PY7), which covers August 2020 through July 2021.
Summary: Medicaid State plan submitted under transmittal number 22-0022 to increase inpatient per diem rates for Children's Specialty hospitals and to continue psychiatric add-ons for certain freestanding psychiatric hospitals.
Summary: This amendment proposed to update the income standards of Maine's Optional State Supplemental Program, the beneficiaries of which are eligible for Medicaid.