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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 SPA updates the State Plan to reflect changes to the State's dental services fee schedule and procedure codes, as well as adding ambulatory surgical centers as a covered service location.
Summary: This SPA reflects that Vermont will use MAGI-based income methodologies for purposes of determining medically needy eligibility for parents/caretaker relatives, pregnant women, and children. All resources will be disregarded for purposes of determining eligibility for these medically needy groups subject to MAGI-based income methodologies.
Summary: This SPA adopts a prospective payment system for Maryland nursing facility services based on actuity adjusted resource utilization groups and reimburses capital costs through fair rental value.
Summary: This SPA increases access to dental services for children by allowing Ambulatory Surgical Centers to perform certain dental procedures, as well as, updates the reimbursement language to the corresponding 4.19B pages to reflect fees equal to 80 percent of the current Medicare approved ASC facility fee.
