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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 proposes to amend the reimbursement methodologies for nursing facility and private intermediate care facilities for the mentally retarded (ICF/MR) services. mentally retarded (ICF/MR.) services.
Summary: Eliminates references to the Average Wholesale Price and defines how the Estimated Acquisition Cost is determined based on the lesser of the Wholesale Average Cost plus zero percent and increases the pharmacy dispensing fee from $4.67 to $5.00.
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan to revise its rate setting methodologies for emergency ambulance services. This change was mandated by the State legislation, Public Act 11-61, Section 125.
Summary: This proposed SPA transmitted an amendment to Connecticut's approved Title XIX State plan to increase the standards for the optional State supplementary payment program by an amount equal to the SSI cost ofliving increase proposed by the Social Security Administration.
Summary: This amendment eliminate the October 1, 2011 and October 1, 2012 annual adjustment factors (inflation increases) of 2.2% and 2.7%, respectively, which is applied to the cost per inpatient discharge rate for each hospital.
Summary: This SPA proposes amendments to Hawaii's approved Title XIX State Plan to eliminate certain optional services for Hawaii's QUEST beneficiaries, as well as to impose an inpatient service limitation on this population.
Summary: This SPA transmitted a proposed revision to Connecticuts approved Title XIX State Plan in order to restore coverage of services provided by independent podiatrists for clients 21 years of age or older.
