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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 plan amendment extends the Non-Designated Public Hospital Supplemental Fund program for the state fiscal year ending 2025, effective July 1, 2024.
Summary: This SPA amendment, the state is adding group homes for children with special health care needs as a new provider type for Community Living Arrangement Services, adding participant direction as a service delivery method for Self-Directed Support Services, and adding telehealth as a service delivery method for specified services.
Summary: This plan amendment updates the rate setting methodology for freestanding pediatric subacute (FS/PSA) facilities effective July 1, 2023, and changes the FS/PSA rate year to a calendar year rate year effective January 1, 2024.
Summary: This plan amendment updates the rate methodology for acute psychiatric inpatient hospital services furnished by Short Doyle/Medi-Cal hospitals and Fee-For-Service/Medi- Cal hospitals, effective December 12, 2023.
Summary: This amendment is to add services provided by Associate Professional Clinical Counselors, under the supervision of a licensed billable practitioner, to the list of covered services for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Tribal FQHCs.
Summary: This plan amendment updates the rate setting methodology for freestanding skilled nursing facilities Level -B and freestanding adult subacute facilities and provides an aggregate five percent increase in the statewide weighted average labor rate component and an aggregate two percent increase in the statewide weighted average non-labor rate component for the calendar year 2023 rate year.
