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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: The purpose of this SPA is to amend the State's approved Title XIX State Plan to update the state's Preadmission Screening and Annual Resident Review (PASRR) methodology to align it with the state's PASRR manual. This SPA is cost neutral.
Summary: This SPA was in response to a companion letter for MD 15-0004 requiring the State to update their Ambulatory Surgical Center 4.19B pages 31 & 38.
Summary: This SPA clarifies that mental health services provided in an Intermediate Care Facility for Addictions are reimbursed as part of the JCF-A provider's per diem rate and not separately.
Summary: Updates the Non-Emergency Medical Transportation Services section of the state plan to be consistent with the State's approved 1915 (b) waiver for NEMT services.
Summary: Includes reimbursement for the originating site facilities, telemonitoring of a patient in their home and for interprofessional telephone and internet assessment and management services provided by a consultative physician.
Summary: Alternative Benefit Plan - Adds community-based providers that are the same providers the State previously licensed for other levels of care, but will now be able to receive a license to operate additional levels of care.
