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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: Provides for supplemental payments to intermediate care facilities for the mentally retarded for their cost incurred for providing day treatment services, including non-medical transportation to and from such treatment, to its residents.
Summary: Provides for an Extension of the Expiration Date of the Rate Methodology for Freestanding Skilled Nursing Facilities and Subacute Care Units of Freestanding Skilled Nursing Facilities; the Facility-Specific Rate Methodology Now Remains in Effect Until July 31, 2011.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to update the current name of the head of the single State agency that has the authority to submit the Medicaid State plan or plan amendments.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to provide an assurance that the State shall not make any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to update the organizational structure of the single State agency. Specifically, you proposed to update the departments within the Agency of Human Services and the Attorney General's certification.
Summary: Provides for supplemental payments, funded by certified public expenditures, for State Veterans Homes, effective for services on and after August 1, 2006.
