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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 amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2019
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan by updating the physician office and outpatient fee schedule to increase the rates for select long-acting reversible contraceptive devices. This SPA also updates the reimbursement methodology for gender reassignment services to ensure that the services paid under the fee schedule include all medically necessary gender reassignment services.
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan to update the dental fee schedules for adults and children by adding Current Dental Terminology (CDT) code 02990 (Composite Resin for Smooth Surface Incipient Lesions) to the adult and children's dental fee schedules.
Summary: Include coverage and reimbursement language for PPEC services in the Mississippi Medicaid State Plan under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit, effective January 1, 2020.