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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: Adds two Alameda Health System hospitals - Alameda Hospital and San Leandro Hospital - to the list of government-operated hospitals receiving supplemental reimbursement for uncompensated costs of providing physician and non-physician practitioner professional services to Medi-Cal beneficiaries.
Summary: akes technical revisions to update the hospital participation criteria for supplemental reimbursement to outpatient departments of public hospitals specified requirements under California Welfare and Institutions Code 14105.96.
Summary: Updates the clinic participation criteria to reflect the State law creation of hospital authorities to govern the designated public hospitals of Alameda Health System and Kern Medical Center.
Summary: This amendment will extend, for an additional year, augmentation payments to emergency medical air transportation providers for services rendered during State Fiscal Year 2016-17.
Summary: Updates the list of governmental hospitals in Appendix 1 to attachment 4.19-A to reflect a hospital name change and also prior hospital closures.
Summary: Implements new 1915(i) state plan provider rates per Assembly Bil (AB) X2-1 as follows; a five percent (5%) rate increase for supported living, independentliving, respite and transportation; survey-based rate increases for the purpose of enhancing wages and benefits for staff who spend a minimum of 75 percent of their time providing direct services to consumers and for provider administrative expenses; a new rate for community care facilities vendored to serve four or fewer concumers with Developmental Disabilities.
Summary: Provides that Non-Designated Public Hospital Supplemental Fund Program inpatient hospital supplemental payments will continue to be made to eligible hospitals for 2 additional program years from July 1, 2016 to June 30, 2018.
