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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: This amendment is an administrative correction for an error resulting from submission and approval ofMD ll-14A. Specifically, MD 13-13 re-establishes reimbursement language for residential treatment centers.
Summary: Attachment 4.19-D Page 9, Section E, 1.b. Special Care Rates: The reimbursement methodology for Behaviorally Complex Add-On rate will now be based on the minimum staffing level multiplied by the Nevada Certified Nursing Assistant (CAN) median wage. The minimum staffing level will be divided into three catagories. Each category will be defined by the number of hours of care required by the recipient, and evaluated on a case by case basis.
Summary: The State General fund Contribution of $2.50 per Medicaid nursing facility bed day to the funds avialable to pay the state share of the supplemental payments to free-standing nursing facilities will be removed. The settlement agreement that required this contribution will expire on June 30, 2013.
Summary: The projected Disproportionate Share Hospital (DSH) federal program allocation will be decreasing, requiring revisions to the current methodology for calculation and distribution of the DSH program. We will also amend the exemption date of the obstetric requirement to the correct federally mandated date of December 22, 1987; clarify the definition of public hospital for the DSH program; and amend the population limits in accordance with AB545.
Summary: Updates the medical review process for determining that a person cannot reasonably be expected to be discharged and return home, and to update Form 4246.
