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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: Makes an increment to the personal needs allowance for individuals subject to court-ordered guardianships to permit payment of a montyly fee of $50.00 to a guardian of the poerson and/or a monthly fee of $50.00 to a guardian of the property.
Summary: This SPA updates the State Plan to replace the Cooperative Agreement between Maryland Medicaid and the Maternal and Child Health Agency signed August 2010 with the recently signed Agreement of August 2015.
Summary: This SPA sets the Medicaid payment rate for administration of vaccines under the Pediatric Immunization Program at the level of the regional maximum established by the DHHS Secretary.
Summary: This SPA updates Marylands State Plan to increase the reimbursement rate for Evaluation and Management fees from 97 percent to 92 percent of Medicare fees.
