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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 to include Autism Services for Children on Medicaid under the preventative benefit adding applied behavioral analysis (ABA) services for children.
Summary: This State Plan Amendment is to define residential services for substance use treatment and expand the type of providers who can render services.
Summary: This amendment is to increase reimbursement rates for Doula providers and an additional 10% increase for services provided to rural recipients.
Summary: This amendment implements coverage and reimbursement of adult ( age 19 and over) immunizations and administration without cost sharing, when required according to the recommendations of the Advisory Committee on Immunization Practices (ACIP).
Summary: This amendment proposes to allow providers of Early Intervention Day Treatment (EIDT) and Adult Developmental Day Treatment (ADDT) services to provide transportation to and from their facilities to their clients. It also updates the payment methodology to be consistent with Arkansas' methodology for other transportation
Summary: This Nevada SPA 21-0012 was approved on July 7, 2022 inadvertently omitted Attachment 4.19-B, Pages 3a and 3a (Continued). We have attached these pages as well as a revised CMS-179 that reflects their inclusion in the approval. No other SPA pages are affected, and the original SPA approval date of July 7, 2022 and effective date of August 27, 2021 remain in effect for the entire SPA, including the two omitted pages.
