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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: Allows Arizona to rebase its outpatient hospital reimbursement fee schedule effective October 1, 2011 using the most current available Medicare cost data.
Summary: Updates eligibility practices, the Maryland Attorney General certification of the State plan administration and the State organizational charts.
Summary: Updates certain State plan pages, including non-discrimination practices, methods of assuring high quality care, removal of language on guidelines for assessing costeffectiveness of employer-based group health plans, and the definition of a claim.
Summary: Removes unnecessary language regarding co-payments in hospital settings and removes co-payments for hospital emergency services for the categorically and medically needy.
Summary: Provides hospice services to children eligible for Medicaid and children eligible for the Medicaid expansion Children Health Insurance Program.
Summary: Restores medically necessary transplant services to Arizona Health Care Cost Containment system members meeting nationally-recognized criteria for certain non-experimental, non-investigational organ and tissue transplants that previously had been eliminated effective October 1, 2010.