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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: SPA restores acupuncture services as a covered benefit under Medi-Cal to all eligible Medi-Cal beneficiaries and makes some unrelated coverage technical corrections.
Summary: Changes Kem County Medical Center from a Short-Doyle/Medi-Cal hospital for Psychiatric services that is cost reimbursed to a Fee-For-Service Medi-Cal hospital, effective December 6th, 2016.
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.
