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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: The State is assuring compliance with Section 4107 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148, in providing tobacco cessation services for pregnant women.
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 SPA establishes a fee schedule for freestanding birth center services provided on or after April 1, 2012. West Virginia submitted this amendment to comply with Section 2301 of the Affordable Care Act that amends Section 1902(a) of the Social Security Act which includes limited coverage and payment of services to Medicaid members by freestanding birthing center providers. Additionally, this SPA indicates that physicians, midwives, and other licensed practitioners are paid a separate fee for services performed in the freestanding birth center based on a procedure code.
