An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Remove Lake and Madera Counties from and add Mendocino and Shasta Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Medically Fragile Individuals" TCM group.
Summary: Removes Lake, Madera, Monterey and San Joaquin Counties from and add Mendocino County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization."
Summary: Remove Lake County from and add Mendocino County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes" TCM group.
Summary: Remove Lake and Madera Counties from and add Mendocino County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease" TCM group.
Summary: The Quality Assurance Fee (QAF) program and reimbursement add-on for Ground Emergency Medical Transports (GEMT) provided by emergency medical transportation providers to Medi-Cal patients.
Summary: Implements policy changes to the current Code on Dental Procedures and Nomenclature (CDT) 13 code set, known as the CDT-13, for the California Medi-Cal Dental Program.
Summary: Department of Health Care Services to extend the duration of Proposition 56-funded time-limited supplemental payments for Family Planning, Access, Care and Treatment (FPACT) services.
Summary: Allows the Department of Health Care Services to implement Proposition 56-funded time-limited supplemental payments for specific family planning services delivered in the Medi-Cal fee-for-service.
