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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 amendment is to increase the excess home equity limit to the federal maximum allowed amount when determining a person’s eligibility for SSI-related long-term care (LTC) services as described in WAC 182-513-1350.
Summary: This amendment to amend the State Plan to include additional provider types for rehabilitative services and designates Licensed Professional Counselors as Other Licensed Practitioners
Summary: This is to amend the State Plan to change state plan page Attachment 2.6-A Page 26 to reflect that the state uses the maximum Community Spouse Resource standard permissible under federal law.
Summary: This amendment provides for an inflationary increase of .25 percent for inpatient hospital services, updates the All Patient Refined Diagnosis Related Grouper to version 39 and updates the cost outlier methodology.
Summary: Updates the fee schedule effective dates for several Medicaid programs and services. This is a regular, budget neutral update to keep rates and billing codes in alignment with the coding and coverage changes from CMS
Summary: This State Plan Amendment supersedes TN: 21-0018 on the 4.19-B page 7a. which implements an inflationary increase for Targeted Case Management Services of 1/4th% (.25%).
Summary: This State Plan Amendment supersedes TN: 21-0011 pages 1, 1a, 1b, 2, and 3b, which implements an inflationary increase of 1/4th% (.25%) for services rendered by Medicaid Providers.
Summary: This State Plan Amendment supersedes TN: 21-0018 on the 4.19-B page 7. which implements an inflationary increase of 1/4th (.25%) for EPSDT services effective July 1, 2022.
