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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: Phase-in the use of a more recent version of the Resource Utilization Group Ill (RUG Ill) classification system version 5.12 44 grouper for_MA nonpublic nursing facilities and the use of the most recent assessment of any type to establish a CMI score fur each resident and to establish eligibility for pay-for-perlormance payments provided to county nursing facilities.
Summary: This SPA implements Express Lane Eligibility for children, in which the Maryland Comptroller will identify through annual State income tax returns those families who are below 300 percent of the Federal Poverty Level and who indicate that their children do not have health insurance coverage.
Summary: Budget Adjustment Factor for County Nursing Facilities. for Rate Year 2009-2010 and extension of the BAF for rate years 2009-2010 and 2010-2011.
Summary: This SPA extends Medicaid to independent foster care adolescents, in accordance with State legislation, to provide for individuals who were in foster care under the responsibility of the State on their 18th birthday and have not reached the age of 21.
Summary: This amendment amends the current aggregate limits Pennsylvania uses to determine disproportionate share adjustment (DSH) payments for Inpatient DSH, Outpatient DSH and Direct Medical Education to qualifying hospitals.
