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Medicaid State Plan Amendments
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: The primary purpose for this amendment is to make enhanced payments to physicians associated with certain publicly owned or operated hospitals.
Summary: This amendment allows Licensed Psychologists, Licensed Behavior Analysts, and Licensed Assistant Behavioral Analysts that work in states that border Missouri to provide Applied Behavioral Analysis services to Missouri Medicaid participants.
Summary: One time supplemental payment for private providers of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) services.
Summary: The Department is amending the State Plan to include language to clarify the specific Medicare rate used to set the Maryland rate for Medicare-covered Durable Medical Equipment (DME) and Durable Medical Supplies (DMS).
Summary: The purpose of this SPA is to amend the provisions governing inpatient hospital services in order to remove language in the Medicaid State Plan that is obsolete.