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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: 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.
Summary: Effective April 1, 2020, this amendment provides an annual update to the State's supplemental teaching physician payment program using the Average Commercial Rate.
Summary: Effective January 1, 2021, this amendment increases dental rates for services provided by dental practice plans operated by publicly funded academic medical centers.
Summary: This amendment proposes to add coverage for a new type of non-emergency medical transportation (NEMT) called Non-Emergency Secure Behavioral Health Transport as an optional medical service outside of the state's NEMT broker program to the state’s Alternative Benefit Plan pages.
Summary: Effective April 1, 2021, this amendment adds Electronic Visit Verification (EVV) compliance language and make technical language changes to update personal care benefits under the state plan. There are no changes to services and no impact to beneficiaries.
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 eliminate co-pays for a number of eligibility populations as well as a number of services.
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 coverage and reimbursement rates for the COVID-19 vaccine administration benefit in the Medicaid State Plan. The amendment also permits pharmacists, and pharmacy interns and pharmacy technicians to administer the COVID-19 vaccines under the supervision of a pharmacist.
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 increase the administration fee of the COVID-19 vaccine up to the Medicare rate, without geographic adjustment, in effect at the time of service.