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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: Updates the Alternative Benefit Plan to indicate, in Form ABP3 and ABP5, that the name of the benchmark plan is Health Partners. Also updates Form ABP8 to reflect the state's new waiver authority to enroll American Indians into managed care.
Summary: Revises the criteria for participation in the critical access dental program, and increases the payment rates for certain critical access dental providers.
Summary: Revises the non-emergency medical transportation program by updating the modes of transportation, clarifying coverage limits, and increases payment rates for ambulance services.
Summary: Adds the optional Medicaid eligibility group which provides coverage to women and men that is limited to family planning and family planning-related services under the state plan.
Summary: Revises Medical Assistance coverage of acupuncture services to expand coverage beyond the treatment of chronic pain to include all conditions for which the state determines acupuncture is medically necessary.
Summary: Implementation of behavioral health home services to adults with serious mental illnesses and children and youth experiencing emotional disturbances.