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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 plan amendment authorizes state fiscal year 2024 Graduate Medical Education payment pools for new programs or expanded positions that began on or after July 1, 2020.
Summary: This SPA updates the payment methodology for licensed pharmacist services to align with physician payment for the testing, prevention, or treatment of human immunodeficiency virus (HIV) or hepatitis C.
Summary: This SPA amendment, the state intends to align provider qualifications to allow the provision of 1915(i) HCBS services to individuals with traumatic and acquired brain injury.
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 authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A, and 4 payments, for the DSH state plan rate year ending 2024.
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.
