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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: The purpose of this amendment is to enhance the benefit for immunizations available to adult beneficiaries, more closely aligning coverage with the Center for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommendations.
Summary: The purpose of this amendment is to add former foster care youth (individuals under age 26 who were in foster care in South Carolina at the age of 18) to the list of eligibility groups that will be mandatory enrolled in coordinated care.
Summary: This amendment, effective September 19,2017, allows a reduction to Medicaid upper payment limit. supplemental payments for non-state governmentally-owned or operated hospitals in order to preserve their disproportionate share hospital adjustment payment levels.
Summary: Revises the state's Medicaid graduate medical education supplemental payment program by allowing payment for Medicaid managed care services and also extending eligibility to certain private teaching hospitals.
Summary: Continues the authority for the Indigent Accident Fund (IAF) program, a supplemental payment program based on inpatient hospital utilization paid in order to preserve access to inpatient acute services through SFY 2018.
Summary: This SPA proposes to bring Nevada into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment (CMS-2345-FC).
