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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 amendment is the addition of a licensed behavior analysts, licensed assistant behavior analysts and registered behavior technicians within their scope of practice according to state law.
Summary: This plan amendment updates the Disproportionate Share Hospital payment time period to the current fiscal year, the fiscal year amount, and the payment frequency.
Summary: This plan amendment removes reference in the plan language to specific Federal Medical Assistance Percentage in the calculation of the nursing facility supplemental payment pool amount, effective January 1, 2024.
Summary: This amendment is to extend coverage of pregnancy-related services, including extended pregnancy-related services from 60 days to 12 months because of the passage of Senate bill 232 during the 82^nd^ Legislative session (2023) and is consistent with Nevada’s extension of the postpartum eligibility period to 12 months.
Summary: This SPA provides Nevada with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: This SPA revises the amount for the personal needs allowance (PNA) provided to certain recipients in nursing facilities. The amendment will allow for COLA increases annually.
Summary: This amendment is to increase reimbursement rates for Doula providers and an additional 10% increase for services provided to rural recipients.
Summary: This SPA updates the payment methodology for Physician Assistant (PA) services to align with Physician payment for the testing, prevention, or treatment of human immunodeficiency virus (HIV) or hepatitis C.
