An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Revising the state plan to provide reimbursement to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) for behavioral health home services. Amendment also makes a technical revision to Alternative Payment Method I to reimburse behavioral health home services.
Summary: Updates the state plan to include utilization from participating MCOs for supplemental drug rebates for direct-acting antivirals for the treatment of hepatitis C.
Summary: Revises the non-emergency medical transportation program by updating the modes of transportation, clarifying coverage limits, and increases payment rates for ambulance services.
Summary: Revising state plan payment rates for physician services, and amending the supplemental payment rates for physicians and other practitioners at Hennepin County Medical Center and Regions Hospital.
Summary: This SPA creates a new bundled daily rate for Community First Choice providers delivering more than 12 hours daily to participants as directed by their plan of service.
