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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 amendment sets forth the provisions of Ohios Amended Substitute House Bill I regarding the correction period for Minimum Data Set version 2.0 (MDS 2.0) submissions from Nursing Facilities (NFs) set forth under Supplement I of Attachment 4.19D of the state plan. This amendment also deletes obsolete sections 5101:3-3-541 and 5101: 3-3-545 from Attachment 3.1A. Supplement 3.
Summary: Supplemental inpatient hospital upper limit payments for public hospitals, Supplemental impatient hospital upper limit payments for state hospitals.
Summary: This SPA adds comprehensive substance abuse assessments, Level 1 Group and individual substance abuse counseling services and Level II Intensive Outpatient Services. Adding these services will increase payments to community-based substance abuse treatment programs.
Summary: This SPA provides coverage to qualified alien children with incomes up to 300% of the Federal Poverty Level (FPL) and qualified alien pregnant women with incomes up to 250% FPL, in accordance with Section 214 of CHIPRA.
Summary: This state plan amendment accommodates Ohios interim budget for ICF-MR payment rates. For services provided after June 30, 2009, ICFs-MR shall continue to be paid the ICF-MRs rate for June 30, 2009. The department requests this amendment and the provisions contained therein be adopted under Ohios state plan effective July 1, 2009.
