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 State plan amendment changes the provider type name from Christian Science to Religious Non-Medical Health Care Institutions (RNHCIs) and adds language regarding the reimbursement rate methodology for RNHCIs.
Summary: This amendment provides for supplemental payments, funded by a quality assurance fee, for private hospital inpatient services for the service period of January 1,2017 to June 30,2019.
Summary: This SPA provides for supplemental payments, funded by a Quality Assurance Fee (QAF), for private hospital outpatient services for the service period of January 1, 2017 to June 30, 2019.
Summary: This amendment will extend, for an additional year, augmentation payments to emergency medical air transportation providers for services rendered during State Fiscal Year 2017-18.
Summary: To remove Amador, Kern, Mendocino, Sacramento and San Joaquin counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease" TCM group.
Summary: To remove Amador, Marin, Mendocino, Nevada and Sacramento counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes" TCM group.
Summary: To remove Kern and Mendocino counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization" TCM group.
Summary: To remove Amador, Kern and Mendocino counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Medically Fragile Individuals" TCM group.
Summary: To remove Amador, Kern, Mendocino and Sacramento counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Children Under The Age of 21" TCM group.