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: Will add pharmacists under the "Other Licensed Practitioner" provider category so that Medi-Cal may reimburse these providers for services for already-covered medications.
Summary: Update both the benefit and reimbursement pages for the targeted case management (TCM) services describing the Childhood Lead Poisoning Prevention program.
Summary: Expands the HHP into the counties of Riverside and San Bernardino for the population criterion of chronic physical conditions and substance use disorder (SUD).
Summary: Non-Designated Public Hospital Supplemental Fund Program inpatient hospital supplemental payments will continue to be made to eligible hospitals for one additional program year from July 1, 2018 to June 30, 2019.
Summary: Authorizes reimbursement under the Prospective Payment System (PPS) methodology for services performed by qualifying Teaching Health Center Graduate Medical Education primary care resident physicians at participating Federally Qualified Health Centers and Rural Health Clinics.
