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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: Program Administration describes the Administrative responsibilities of the department of Health Care Services in it's role as the Medi-Cal Single State Agency.
Summary: This SPA adds licensed marriage and family therapists, registered marriage and family therapist interns, registered associate clinical social workers, and psychology assistants as providers of psychology services under the direction of a licefised practitioner within their scope of service.
Summary: Provides a new supplemental payment to freestanding skilled nursing facilities under the Quality and Accountability Supplemental Payment Program.
Summary: The USVI proposes that effective January 1, 2014 it will pay Medicaid enrolled physicians for inpatient and outpatient procedures performed in an inpatient setting for Medicaid eligible patients at 1 00% of the current Medicare rates.
Summary: Disregards all household income for non-Title IV-E adoption assistance children and 2101 (f)-like children who are covered as reasonable classifications of children under 42 CFR 435.222.
Summary: To exempt dental pediatric surgery centersfrom the provider payment reduction imposed by California Assembly Bill 97 provided that at least 95 percent of the Medi Cal beneficiaries they serve are under the age of 21.
Summary: Expands the scope of services offered under the State existing 1915i State plan section that serves persons with developmental disabilities that require a level of care that is less stringent than institutional criteria.
