An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Clarifies the limitations place on medical and surgical services proficed by a dentist and corrects the preprint numbering relating to this item.
Summary: Provides for a technical correction of State plan language regarding the version of Resource Utilization Group/Min Data Set used as part of Nevadas nursing facility rate-setting.
Summary: Section XIV would allow non-state government owned hospitals with approved graduate medical education (GME) programs to received additional Medicaid payments.
Summary: Prohibits the estate recovery of Medicare cost sharing benefits for dual eligible beneficiaries age 55 and over in compliance with Section 115 of the Medicare Improvements for Patients and Providers Act of 2008.
Summary: Updates the amounts of Arizona s graduate medical education and indirect medical education payment pools and designates the qualifying teaching hospitals for each payment pool for the fiscal period.
Summary: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
Summary: Removes certain anesthesia reimbursement codes from the State plan and reduces payment rates. Reduces dollar conversion factor for certain anesthesia services from 37.02 per billable unit to 21.12 per billable unit.
