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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: Revises the title of the audiology fee schedule to 'independent audiology and speech and language pathology' and also to add a series of vestibular function tests, audiologic function tests and evaluative and therapeutic procedures to the fee schedule.
Summary: Revises the reimbursement methodology for services provided for privately owned intermediate care facilities for individuals with intelectual disabilities.
Summary: Adds coverage for male and female condoms and spermicide to the Medical and Surgical Supply fee schedule and the family Planning Clinic fee schedule.
Summary: Reduces fees for most codes on the durable medical equipment, Orthotics and Prosthetic Devices and Medical Surgical Supplies fee schedules by 5%.
Summary: This amendment modifies the payment provisions for Large Public Kansas Teaching Hospitals and Border City Children's Hospitals and modifies the rate setting methodology for Critical Access Hospitals.
