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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: Effective December 1, 2021 through December 31, 2023, this amendment makes changes to reimbursement for pediatric psychiatric inpatient hospital services.
Summary: This SPA amends Attachment 3.1-D of the state plan to comply with the requirements for assurance of Medicaid coverage for non-emergency medically-related transportation in accordance with section 209 of the Consolidated Appropriations Act of 2021.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement home health increases consistent with the state's ARPA sec. 9817 HCBS spending plan: 1. effective July 1-31, 2021, 3.5% rate increase for services other than pediatric complex skilled nursing and additional 1% value-based payment and 2. one-time supplemental payment calculated at 5% of SFY 2021 expenditures.
Summary: Implements 4% rate increase for autism spectrum disorder, behavioral health (BH) clinician, psychologist, 8H clinic fee schedules & private PRTFs and chemical maintenance clinics. Includes practitioners in Independent practice: licensed clinical social workers, licensed marital and family therapists, licensed professional counselors, and licensed alcohol & drug counselors.
Summary: Incorporates CMS 2021 4th Quarter HCPCS updates and 2. removes end-date that is currently in place on the temporarily increased fee of $8.00 per box of non-sterile gloves (100 per box) in order to help ensure continued access to non-sterile gloves.
Summary: This amendment to the Medicaid State Plan updates the Alternative Benefit Plan (ABP) State Plan to reflect the restoration of coverage for chiropractic services and addition of coverage for acupuncture services.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to add a temporary 5% nursing home rate eff 4/1/21 through 6/30/21. It also makes additional rate add-ons for pediatric inpatient psych services effective from June 1, 2021 through June 30, 2022, rate add-on for hospitals that increase pediatric inpatient psychiatric bed days by at least 10% or 2 beds compared with the same quarter in 2019, whichever is greater and effective July 1, 2021 through June 30, 2022 a rate add-on for pediatric inpatient psychiatric bed days provided to each child whose behavior demonstrates acuity that requires additional support on the inpatient unit and is sufficiently acute that it interferes with therapeutic participation.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement payments to outpatient hospitals for providing specimen collection for COVID-19 tests when no other service is provided to that beneficiary on the same date by that hospital at 100% of the Medicare rate on Addendum B.
