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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: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a Specialized COVID - 19 Behavioral Health Long Term Care Bed Rate.
Summary: This plan amendment increases the reimbursement rates for home health agencies based on the Medicare low utilization payment adjustment (LUPA) methodology
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to adjust reimbursement methodologies.
Summary: The purpose of SPA #21-0026 is to comply with State Medicaid Director letter #10-021 of October 1, 2010 and to request an exception to the Recovery Audit Contract (RAC) program.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to temporarily modify the provider recertification process for providers of 1915(i) state plan HCBS. This amendment allows the state to align the state's processes with the state's 1915(c) HCBS and Appendix K submissions.
Summary: This plan amendment allowed for a 3.1% increase to Other Diagnostic, Screening, Preventative and Rehabilitation Services (ESS, PNMI, other DCYF).
Summary: This plan amendment allowed for a 3.1% increase to Other Diagnostic, Screening, Preventative and Rehabilitation Services - Community Mental Health (CMH).
Summary: This plan amendment allowed for a 3.1% increase to Other Diagnostic, Screening, Preventative and Rehabilitative Services - Adult Medical Day Care and Newborn Preventive Services.
