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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 SPA was submitted to add Community First Choice pursuant to Section I 9 I 5(k) of the Social Security Act to the ABP (corresponding to approved SPA 15-012).
Summary: Revises the standard ABP To amend Gender Dysphoria services (corresponding to approved SPA 15-007) and Autism Spectum Disorder services (corresponding to appred SPA 15-004).
Summary: This amendment revises methodologies and standards for determining payment rates for nursing facilities provided services based on the RUG class in effect.
Summary: Increases the unearned income disregard in the optional State supplementary payment program by an amount equal to the SSI cost of living increase for 2017 implemented by the Social Security Administration.
Summary: This amendment makes legislative revisions to the state's diagnosis-related group (DRG) reimbursement methodology for inpatient services, which was initially implemented in 2015.
Summary: Revises payment rates for providers specializing in the treatment of cerebral palsy, spina bifida, epilepsy, closed head injuries, and orthopedic conditions.
Summary: Updates the Alternative Benefit Plan to indicate, in Form ABP3 and ABP5, that the name of the benchmark plan is Health Partners. Also updates Form ABP8 to reflect the state's new waiver authority to enroll American Indians into managed care.
