An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Removes coverage and reimbursement methodology for the Personal Care Services option from the DE Medicaid State Plan as those services will now be delivered through the Home Health Services benefit.
Summary: To amend the State Plan to ensure compliance with federal law and regulations by updating the methods and standards language governing reimbursement methodology for home health services.
Summary: This SPA updates the State Plan to replace the Cooperative Agreement between Maryland Medicaid and the Maternal and Child Health Agency signed August 2010 with the recently signed Agreement of August 2015.
Summary: To amend the State Plan to amend Physical Therapy, Occupational Therapy, and Services for Individuals with Speech, Hearing and Language Disorders in order to establish coverage criteria, provider qualifications, service limitations and reimbursement methodology for Hippotherapy.
Summary: This SPA sets the Medicaid payment rate for administration of vaccines under the Pediatric Immunization Program at the level of the regional maximum established by the DHHS Secretary.
Summary: This SPA updates Marylands State Plan to increase the reimbursement rate for Evaluation and Management fees from 97 percent to 92 percent of Medicare fees.
