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: Updates Targeted Case Management Services for People with Intellectual and Developmental Disabilities Receiving Community Coordination Services.
Summary: Updates Targeted Case Management Services for People with Intellectual and Developmental Disabilities on the Developmental Disabilities Administration Waiting List.
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: 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.