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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 SPA extends Medicaid to independent foster care adolescents, in accordance with State legislation, to provide for individuals who were in foster care under the responsibility of the State on their 18th birthday and have not reached the age of 21.
Summary: Removes certain anesthesia reimbursement codes from the State plan and reduces payment rates. Reduces dollar conversion factor for certain anesthesia services from 37.02 per billable unit to 21.12 per billable unit.
Summary: This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases NF reimbursements by reducing the net reduction factor by 8.85 percent for certain cost centers and offsets the increase by implementing a light care incentive factor of 0.97.
Summary: This SPA updates services and revises the payment methodologies related to ambulatory surgery services in compliance with the Deficit Reduction Act of 2005.
Summary: Adds a supplement to the State plan to definie the requirements of the Asset Verfication System as required under Sectio 1940 of the Social Security Act.
