An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 plan amendment freezes the case mix adjustment to the direct component of the nursing home daily rate to allow for updating the PDPM methodology.
Summary: This plan amendment assists hospitals by providing a temporary rate adjustment under the closure, merger, consolidation, acquisition, or restructuring of a health care provider.
Summary: To update the Alternative Benefit Plan (ABP) to move specified behavioral health services provided by clinics to the rehabilitative services benefit category.
Summary: This plan amendment reduces the capital component of the Medicaid rates for all residential health care facilities, excluding pediatric residential health care facilities, by 10%.
Summary: This amendment makes the following changes: maintains the $500.00 add-on per diem rate for patients on ventilators in free-standing licensed inpatient chronic disease hospitals; updates federal HCPCS and other reimbursements for physician office & outpatient, durable medical equipment, orthotics and prosthetics, and medical surgical supplies fee schedules; and implements a rate increase of 4.9 percent for select home health services.
