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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: Changes the effective date of eligibility for all eligibility groups except Qualified Medicare Beneficiaries from the date of eligibility/application to the first day of the month of eligibility application under the Medicaid State plan.
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.
Summary: This SPA increases the DDA TCM reimbursement rate by 3% as well as updates Supplement 7 to Attachment 3.1A language to more accurately describe the provider application process.
Summary: This State plan amendment (SPA), OR 15-0005, supersedes OR 13-0015, which was approved on April 8, 2015, except for the AG certification and the organizational chart. The approval package for OR 15-0005 includes A1-A3 (8 pages). OR 15-0005 supersedes the following OR-13-0015 pages: A1-A3 (9 pages). However, the AG certification and the organizational chart approved in OR-13-0015 remain in effect.
Summary: This SPA was in response to a companion letter for MD 15-0004 requiring the State to update their Ambulatory Surgical Center 4.19B pages 31 & 38.
Summary: This SPA clarifies that mental health services provided in an Intermediate Care Facility for Addictions are reimbursed as part of the JCF-A provider's per diem rate and not separately.
Summary: Alternative Benefit Plan - Adds community-based providers that are the same providers the State previously licensed for other levels of care, but will now be able to receive a license to operate additional levels of care.
