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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: This amendment ensures that preventive services currently identified within the District's State Plan align with the requirements of the Affordable Care Act.
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.