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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: update the home health services fee schedule by increasing the rates by one percent (1 %) for Health Care Procedural Coding System (HCPCS) codes Tl00 4 (Services of a qualified nursing aide, up to 15 minutes) and Tl021 (Home Health aide or certified nurse assistant, per visit) provided by licensed home health agencies.
Summary: incorporates various Healthcare Common Procedure Coding System (HCPCS) updates to the Physician Office & Outpatient, Physician-Radiology, Physician-Surgery, Psychology and Autism Spectrum Disorder Services fee schedules. In accordance with section 12 of Attachment 4.19-B of the State Plan, this SPA also updates the
physician fee schedule and incorporates the required annual update for reimbursement of physician administered drugs, immune globulins, vaccines and toxoids.
Summary: Describes the organization of New Mexico's Single state Agency, the New Mexico Department of Human Services, and the administration of the state's Medicaid
Summary: Changes the reimbursement methodology for the rural rates associated with the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) program0
Summary: This amendment provides a 2% rate increase for fiscal year 2020 and 1% effective July 1, 2021 and thereafter to nursing facilities to be applied to wages or salaries, health/dental benefits and retirement plans and/or a combination.
Summary: SPA modifies Attachment 4.19-D of the Medicaid State Plan to freeze the rates for private intermediate care facilities for individuals with intellectual disabilities (lCF/llDs) for the state fiscal years.
Summary: Updates the effective date of the fee schedule for Community First Choice Services (under 1915k) to implement a 10% rate increase for home-delivered meals.
