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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: Updates the Primary Care Physician Consultant to the Specialized Healthcare Consultant, allowing Health Homes flexibility in offering additional consultation from a variety of healthcare professions for special populations. Also updates the Per Member Per Month (PMPM) payment for Community Mental Health Centers (CMCH) Health Homes.
Summary: The purpose of this SPA is to increase the Medicaid rates for Assisted Living Facilities, Adult Family Homes, Adult Day Health, Agency Providers, Independent Providers, Nursing Facilities, and Nursing Facility Swing Beds.
Summary: Allows advanced practice registered nurses and physician assistants to order home health services and conduct face to face visits in accordance with 42CFR440.70(f).
Summary: SPA This adds language allowing the department to cover services by Licensed Professional Counselors and Licensed Marital and Family Therapists in a Federally Qualified Health Center and a Rural Health Center.
Summary: Removal of the requirement of the need for a skilled service to receive home health aide services, defines where home health services and adds face-to-face encounter and documentation requirements. It also updates terminology, the MO HealthNet Division web site address, and the incorporated by reference date.
Summary: Implemented a 20 percent rate increase across all three tiers of Health Home services and reduced the performance incentive payment to 5 percent.
