An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 SSDC IA Medicaid Supplemental Drug Rebate Agreement utilized by the State to enter into a drug rebate agreement with a drug manufacturer has been revised to account for proposed CMS rule released on 02/02/12. CMS must authorize any changes to existing model.
Summary: This amendment eliminates graduate medical education (GME) payments to out-of-State hospitals, reduces GME payments to in-State hospitals, and imposes payment reductions for health care-acquired conditions per section 2702 of the Affordable Care Act.
Summary: The State is assuring compliance with Section 6401 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148, provider screening and enrollment requirements.
Summary: Eliminates references to the Average Wholesale Price and defines how the Estimated Acquisition Cost is determined based on the lesser of the Wholesale Average Cost plus zero percent and increases the pharmacy dispensing fee from $4.67 to $5.00.
