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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: The purpose of this SPA is to combine nurse anesthetist, nurse midwife and nurse practitioner pages under advanced practice nursing services. aligning with regulations.
Summary: This SPA proposes to bring Maryland intocompliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Summary: To increase the reimbursement rate for Targeted Case Management providers by three and a half percent based on a legislative approved Cost of Living Adjustment.
Summary: This SPA updates Maryland's State Plan to permit state and local correctional facilities to make presumptive eligibility determinations for pregnant women, former foster care adults and the adult group eligibility groups.
Summary: This SPA updates Maryland's State Plan to update covered outpatient drugs to include agents when used for cosmetic purposes or hair growth when medically necessary.
Summary: This State Plan Amendment (SPA) describes the single state agency and other entities responsible for administering or implementing the Medicaid state plan.
