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: This amendment add temporary policies, which were different from those policies and procedures otherwise applied under your Medicaid State Plan, during the period of the Presidential and Secretarial emergency declarations related of the COVID-19 outbreak (or any renewals thereof).
Summary: Allows for a change to the Department’s payment methodology for Targeted Case Management Services: Persons with a Developmental Disability to a per member per month (PMPM) structure
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payments to Nursing Facilities and ICF/IIDs for infection control related expenses. It allows Nursing Facility cost reports to accommodate efficient vaccine distribution. It also identifies that indirect costs exclude COVID-19 vaccines where Medicaid reimbursement is available directly to a third party.
Summary: Effective July 30, 2021, this amendment revises the frequency of the state's cost of dispensing survey from specifying that it will occur every two years to noting that it will occur periodically.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to establish a February 2021 COVID-19 interim payment for primary care medical providers (PCMP) who provide integrated services. PCMPs who received an October 2020 COVID-19 interim payment (approved in TN 20-0035) are not eligible to receive the February 2021 COVID-19 interim payment.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to authorize all providers licensed to administer vaccines to administer pediatric immunizations if the vaccine product used was provided free of cost by the federal government. It also confirms coverage of the administration of COVID-19 vaccines and tests in accordance with the PREP Act.
Summary: Effective January 01, 2021, this amendment allows for an increase to the pediatric personal care reimbursement rate for Denver-area providers.
Summary: Effective October 1, 2020, this amendment creates the Minimum Wage Supplemental Payment for qualifying nursing facility providers, for services on or after the effective date.
