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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 amendment is to clarify existing policy for preventive services regarding mandatory coverage requirements for approved adult vaccines to comply with CMS guidance in State Health Official (SHO) Letter 23-0003.
Summary: Renews the rate setting methodology for freestanding skilled nursing facilities Level -B (FS/NF-B) and freestanding adult subacute facilities (FSSA) and provides a 2.4 percent increase in statewide weighted average Medi-Cal reimbursement rate for FS/NF-B and FSSA facilities
Summary: This amendment proposes to align the Alternative Benefit Plan (ABP) with the Medicaid state plan by clarifying the benefit descriptions for cardiovascular and pulmonary rehabilitation services.
Summary: This amendment aligns the Alternative Benefit Plan (ABP) with the Medicaid state plan by adding Diabetes Prevention Program (DPP) services for adults ages 18 years and older who meet certain federal Centers for Disease Control and Prevention (CDC) Diabetes Prevention Recognition Program (DPRP) eligibility criteria.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind SPA AK-22-0014, which temporarily extended the flexibility of a 10% rate increase for providers of Title XIX HCBS services effective 4/30/23. Effective May 1, 2023, AK 23-0004, will permanently implement the 10% increase plus the rebased amount for each of the listed Title XIX state plan Home and Community-Based Services: personal care, targeted case management, and 1915(k) Community First Choice Services, which replaces the AK 23-0005 rescission amendment.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to temporarily extend the suspension of behavioral health prior/service authorizations for one year after the end of the COVID-19 Public Health Emergency (PHE). This extension was authorized under the authority of an 1135 blanket waiver on 4.2.20. The TE extension is necessary to aid Alaska's return to routine operations.
Summary: This State Plan Amendment implements a payment rate for providers of Home and Community Based Services adopting a 10% increase for all HCBS (including waiver) services.
Summary: Effective July 1, 2023, this amendment extends the Non-Designated Public Hospital Supplemental Fund program for the state fiscal year ending 2024.
