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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: Updates Maryland's State Plan to clean-up inconsistencies between the State Plan and regulations, as well as fix broken website links caused during Maryland's website migration.
Summary: Updates the reimbursement methodology for outpatient hospital services to remove separate billing for revenue codes 510-519 (clinic services), and to make a corresponding adjustment upward in the percentage of the OPPS rates that VT will pay to participating hospitals.
Summary: Increases the reimbursement rate for Targeted Case Management providers by three and a half percent, based on a legislative approved cost o living adjustment.
Summary: Add the ability for OHCQ Licensed or Certified Substance Use Disorder Program who employ a data 2000 Waiver Physician, to reimbursed for buprenorphine and other medication assisted treatment, as appropriate.
Summary: Discontinues waiting list coordination services for MD Medical Assistance recipients who meet the criteria to be eligible for DDA state supports services only but do not meet all the criteria for "developmental disability," as defined in MD Annotated Code, Health-General Article section 7-403(c). Additionally, establishes a different methodology for service unit preauthorization without increasing federal fiscal impact.
