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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 the State Plan language regarding the Community First Choice program to accurately reflect the highest allotted budget for personal Assistance Services based on the Resource Utilization Groups (RUG), which is $43,680 annually.
Summary: Implements a one-time 7.25% rate increase, provided through the Maryland budget bill, for the 1915i Home and Community Based Services Program.
Summary: Approved a template that will authorize the state to enter into Outcome-Based Supplemental Rebate Agreements with drug manufacturers for drugs provided under the Medicaid program.
Summary: This SPA provides Maryland with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: adds an additional class of supplemental payments to acute care general hospitals for qualified high volumes hospitals that are non-rural in medically under served areas.
Summary: To update State Plan language regarding the EPSDT program, including eligible provider types, clarifying limitations to dental and audiological services, and removing references to the 504 Written Individualized Program.
Summary: Updates the State Plan language regarding the Community First Choice program to replace references to the attendant care and the LTSS tracking System with personal assistance services and data management.
