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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 state plan amendment specifies the reporting period of the Nursing Facility provider Fair Rental Value (FRV) survey, sets out the procedures for reporting FRV projects, and clarifies the scope of capital costs that can be reported as part of a project. It also updates the glossary entries for relevant terms.
Summary: Effective March 23, 2021, this amendment adds language to the Inpatient Hospital Reimbursement Methodology for Indirect Graduate Medical Education (IME) Payments for services outlined within the State Plan. This amendment has a fiscal impact with an expected increase of $168,393,723 in federal funds for federal fiscal year (FFY) 2020-2021 and an increase of $207,324,368 in federal funds for FFY 2021-2022.
Summary: Specifically this amendment proposes an increase of $703,865 for both FFY 2019 and 2020. In addition, this amendment will make technical and editorial changes.
Summary: Includes language regarding Multi-Visceral Transplant Reimbursement for services outlined within the State Plan updating the global facility rate for multi-visceral transplants and intestine transplants
Summary: We have reviewed the proposed amendment to Attachment 4.19-D of your Medicaid state plan submitted under transmittal number (TN) 20-0014. Effective September 1, 2020, this state plan amendment changes reimbursement for certain intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs) to a cost reimbursement methodology.
