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: This amendment updates reimbursement rates for inpatient hospital service and procurement relating to transplants, additionally this amendment adds psychiatric/substance abuse services for critical access hospitals to the list of services reimbursed at the general acute care hospital rates for interim payment purposes.
Summary: This SPA amended your Title XIX State plan to allow Licensed Behavior Analysts (BAs), Licensed Assistant Behavior Analysts (ABAs) and Behavior Technicians to provide services to treat autism spectrum disorder, and for BAs and ABAs to bill directly for these services.
Summary: This amendment implements the use of a certain revenue code to trigger the existing per diem add-on payment for inpatient hospital rehabilitation services due to the required upgrade to ICD-10.
Summary: To allow licensed dental hygienists to bill directly for services when working under a collaborative agreement with a licensed dentist in the State of VT.
Summary: This SPA proposes to change references to ICD-9 Clinical Modification and DSM IV to the new ICD-10 Clinical Modification classifications for three targeted populations with mental illnesses.
