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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 moves optometry services from optional coverage to a mandatory physician service, in order to allow Optometrists the ability to participate in Maryland's Medicaid Electronic HealthRecord (EHR) Incentive Program.
Summary: This amendment continues Maryland's project to split reimbursement methods for inpatient and outpatient services into separate Attachments 4.19 A and 4.19B. Specifically, MD 12-13 moves reimbursement for inpatient psychiatric services provided to individuals under the age of 21 to Attachment 4.19 A.
Summary: This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA implements changes in the occupancy standards used in developing per diem rates.
Summary: Eliminate the optional group of parents and caretaker relatives, reduces the income eligibility standard for the Section 1931 group from 150% of the federal poverty line to 133% of the federal poverty line, and to reduce eligibility for certain individuals who are eligible for Medicaid based on their eligibility for Medicare.
