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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: Update the reimbursement rate for Targeted Case Management providers by three and a half percent based on a legislative approved Cost of Living Adjustment.
Summary: This modifies coverage and reimbursement for Psychiatric Residential Treatment Facility (PRTF) leave days. Leave days will be reimbursed at 50 percent of the PRTF per diem rate for a maximum of 5 days per treatment episode for medical leave and l0 days per treatment episode for therapeutic leave.
Summary: Implements a change in the state's cost effectiveness formula for its premium assistance program and to expand the state's premium assistance program to include individual health insurance.
Summary: This Maryland SPA amend the SPA language to avoid duplication of ABA services provided by other programs and to clarify ABA payment procedures.
Summary: Nebraska will join a Consortium to develop an AVS and will enter into a contract with the New England States Consortium System Organization to meet the federal requirements in implementing an AVS, using a contractor to provide data to assist in verifying asset information for all individuals who have SSI-related eligibility.
Summary: This SPA updates Maryland's State Plan add language specific to provision of tobacco cessation servicesfor pregnant women in accordance with the Affordable Care Act Section 4107, 1905(a)(4)(D).
