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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 decreases payment rates to all hospitals by one percent, reduces a base year adjustment, eliminates payment for increased costs associated with a list of hospital acquired conditions, limits payments for certain child deliveries and adjust payment rates for an increase in costs for hearing tests.
Summary: This request increases the amount of funding in the Iowa state-owned teaching hospital disproportionate share fund. This also changes the GMS/DSH fund apportionnent claim sent.
Summary: This State Plan Amendment clarifies Medicaid reimbursement for inpatient hospital care provided to Indian Health Service and Tribal 638 providers.
Summary: These changes implement a temporary reduction (for the remainder of SFY 2010) in the pharmacy dispensing fee from $4.57 to $4.34 and implements a new permanent methodology for the determination of the EAC for specialty drugs at AWP minus 17% as opposed to the non-specialty BAC of AWP minus 12%.
Summary: Increases the aggregate amount allocated for payments from the Indigent Care Agreement disproportionate share hospital pool and updates the individual hospital allocation amounts as identified in the state plan.
