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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: State is attesting compliance with Section 2301 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148. This provision requires states that recognize freestanding birth centers to provide coverage and separate payments for freestanding birth center facility services and services rendered by certain professionals providing services in a freestanding birth center, to the extent the state licenses or otherwise recognizes such providers under state law.
Summary: Legislature authorized hospital base rate increases due to passage of the hospital provider tax. The SPA increases the inptient service rates for participating hospitals for a quarter to pay out the increased funding.
Summary: HF 2388 established a DSH fund for rural prospective payment hospitals that are not designated as critical access hospitals. If a hospital chooses to participate, the nonfederal share will be provided through IGT using city or county tax levy collections.
Summary: Iowa SF 2366 required implementation of a hospital inpatient reimbursement policy to provide combining of an original claim for an inpatient stay with a claim for a subsequent inpatient stay when a patient is admitted within 7 days of discharge for same condition.
