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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 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 SPA allows emergency medical services provided in the hospital emergency room to be certified and signed by the attending licensed physician, nurse practitioner or physician assistant at the time the service is rendered and documented in the medical record.
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: Removes barbiturates, benzodiazepines and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the ACA.
