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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: Increases the fees for the Current Procedure Terminology codes 92507 and 92508 on the Independent Audiology and Speech and Language Pathology fee schedule.
Summary: Provides supplemental payments for obstetrical providers based on quality performance measures qith points specified in the SPA for each measure.
Summary: This SPA proposes to amend Attachment 4.19B of the Medicaid State Plan in order to revise the fee schedule Medical equipment, Devices and Supplies (MEDS). Changes include the addition and deletion of codes and changes to code descriptions on the MEDS fee schedule consistent with Healthcare Common Procedure Coding System (HCPCS) updates.
Summary: Replaces the existing plan language with a comprehensive description of the reimbursement methodology for the state's public chronic disease hospital owned and operated by the Department of Veterans' Affairs.
Summary: This SPA incorporates the 2015 HCPCS changes with pricing, to the following fee schedules; Ambulatory Surgical Centers, Family Planning Clinics, Medicaid Clinic, Mental Health and Substance Abuse Clinics, and Dialysis Clinics.
Summary: This SPA proposes to eliminate coverage exclusions of "transexual surgery" and related services in the inpatient hospital and physician services section of the State Plan.