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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: Expands the HHP into the counties of Riverside and San Bernardino for the population criterion of chronic physical conditions and substance use disorder (SUD).
Summary: Non-Designated Public Hospital Supplemental Fund Program inpatient hospital supplemental payments will continue to be made to eligible hospitals for one additional program year from July 1, 2018 to June 30, 2019.
Summary: Authorizes reimbursement under the Prospective Payment System (PPS) methodology for services performed by qualifying Teaching Health Center Graduate Medical Education primary care resident physicians at participating Federally Qualified Health Centers and Rural Health Clinics.
Summary: This allows allows the California Department of Health Care Services (DHCS) to sunset the current one percent payment reduction applicable to Home Health Agency (HHA) services and to increase reimbursement rates by 50 percent for state plan HHA services and certain Pediatric Day Health Center (PDHC) services.
Summary: This allows the California Department of Health Care Services (DHCS) to extend the supplemental payment program for certain physician services for an additional 12 months from July 1, 2018 through June 30, 2019.
