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: Authorizes the Skilled Nursing Facility Quality and Accountability Supplemental Payment (QASP) System for the rate year beginning August 1, 2016.
Summary: Adds participant direction as an option for existing §1915(i) State Plan Home and Community-Based Services (HCBS) respite, skilled nursing, and non-medical transportation services, and establishes community-based training services and financial management services as new services in support of participant direction.
Summary: This amendment makes technical revisions to update the home health section of the state plan to align with regulatory updates to Title 42 CFR 440.70.
Summary: To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease" TCM group: Butte, El Dorado, Fresno, Marin, Merced, Monterey, Napa, Placer, San Francisco, San Luis Obispo, San Mateo, Santa Barbara, Santa Cruz, Tulare, Tuolumne, and Yolo.
Summary: To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardyof Negative Health or Psycho-Social Outcomes" TCM group: Fresno, Merced, San Francisco, Santa Barbara, Tulare and Yolo.
Summary: To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Individuals at risk of Institutionalization TCM group Fresno, Merced, San Francisco, San Mateo, Santa Barbara, Tulare and Yolo.
Summary: To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Medically Fragile Individuals TCM group Butte, Fresno, Marin, Merced, San Francisco, San Joaquin, Santa Barbara, Tulare and Yolo.
