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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: Updates the All Patient Refined Diagnosis Related Group software from version 31 to version 33 to coordinate with the federally required transition to International Classification of Diseases 10th Revision Code Sets.
Summary: To terminate Kansas' Home Health program authorized under section 2703 of the Patient Protection and Affordable Care Act, to serve individuals with serious and persistent mental illness.
Summary: Revises the DDS fee schedule consistent with Healthcare Common Procedures Coding System updates to ensure that this fee schedule remains compliant with the Health Insurance Portability and Accountability Act.
Summary: Adjusts reimbursement for dental services, including adding and deleting selected Current Dental Terminology codes to ensure the dental fee schedule remains compliant with the Health Issuance Portability and Accountability Act.
Summary: Updates components of the nursing facility rate setting methodology and updates numerous charts and exhibits within the State plan that demonstrate the revised factors and limits applicable to the new rate period beginning with SFY 2016.
Summary: Implements the KS Executive Reorganization #43 which moves the determination of Medicaid eligibility for individuals who are elderly and disabled to the KS Department of Health and Environment, Division of Health Care Finance.
Summary: Provides for the implementation of an Asset Verification System for purposes of determining Medicaid eligibility for aged, blind, and disabled Medicaid applicant and recipients as required under 1940 of the Social Security Act.
Summary: This amendment modifies the methodology for the recoupment and redistribution of disproportionate share hospital overpayments identified through the annual DSH audits.
