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: This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases interim and maximum rates by an overall average of 1. 725% by increasing the rates established for three of the cost center components by 3.2% each.
Summary: Removes the four prescription limit for the pharmacy benefit and also removes the Behavioral Pharmacy Management Program from the State Plan as the program no longer exists.
Summary: Clean-Ups Maryland's State Plan to Bring Maryland's State Plan Into Technical Conformity with Maryland's Income Disregard Practice for Eligible Children Age One to Eighteen.
Summary: Converts the state's existing income eligibility standard to a modified adjusted gross income equivalent standard, by age group, for children covered in its title XXI-funded Medicaid program.
Summary: Provides coverage in a separate CHIP, as specified in the state's submission of CS14: Children Ineligible for Medicaid as a Result of the Elimination of Income Disregards.
