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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 modifies the DME reimbursement in accordance with the 21st Century Cures Act. Specifically, the pricing methodology for DME items described in section 1861(n) of the Social Security Act will be equal to the lower of the DMEPOS non-rural Medicare rate or the competitive bidding area rate specific to Alabama.
Summary: This SPA adds TCM services for Medicaid-eligible individuals who have a diagnosed substance use disorder or substance-induced disorder, and revises outdated language for Target Group 1, Mentally Ill Adults, and Target Group 3, Disabled Children.
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: 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).
Summary: Continues to pay hospitals for services provided to Medicaid recipients for inpatient and outpatient services utilizing the reimbursement methods in effect on September 30, 2017.
