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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: This SPA adds Imperial County and Santa Cruz County tothe "Individuals in Jeopardy of Negative Health of Psycho-Social Outcomes" Targeted Case Management.
Summary: This amendment provides for supplemental payments, funded by a quality assurance fee, for private hospital inpatient service for the service period of January 1, 2014 to December 31, 2016.
Summary: Removes barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the Affordable Care Act.
Summary: To continue the suspension of the annual inflation factor to inpatient hospital and nursing facility rates for the 4th quarter of FFY 2013, FFS 2014 and the 1st, 2nd and 3rd quarters of FFY 2015.
Summary: This amendment changes the interval for the cost report data periods for intermediate Care Facilities for the Developmentally Disabled (including Habilitative and Nursing), under state plan authority effective August 1, 2014.
Summary: This amendment provides that Private Hospital Supplemental Fund Program inpatient hospital supplemental payments will continue to be made to eligible hospitals.
Summary: This amendment provides that Non-Designated Public Hospital Supplemental Fund Program inpatient hospital supplemental payments will continue to be made to eligible hospitals, under state plan authority effective July 1, 2014, after the expiration of California's Selective Provider Contracting Program.
