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: Incorporates the 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Therapy fee schedule.
Summary: Revises supplemental payments to certain safety-net hospitals for physician and dental services by including the University of Minnesota as an eligible provider. Also revisessupplemental payments for ambulance services to include non-state, government-owned providers.
Summary: This amendment revises methodologies and standards for determining payment rates for nursing facilities provided services based on the RUG class in effect.
Summary: This SPA amends Attachment 4.19-B of the State Plan to reimburse at 95% of the calculated 2014 Medicare physician's fee schedule facility and non-facility rates for specified primary care services and vaccine administration provided under the Vaccines for Children program. This SPA is an increase from the previous level, which reimbursement at 90% of the calculated 2014 Medicare physician fee schedule for facility and non-facility rates.
Summary: Adds the following procedure code to the home health fee schedule: GO 162 - Skilled services by a registered nurse for management and evaluation of the plan of care; each 15 minutes.
Summary: Revises various qualifications for providers of mental health services, makes multiple technical and conforming changes, and expands coverage of medical assessments performed in schools.
