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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: Revise the process through which cost is determined and Certified Public Expenditures are claimed for California county based Targeted Case Management program
Summary: This amendment provides that Construction Renovation Reimbursement Program inpatient hospital supplemental payments will continue to be made to eligible hospitals under state plan authority effective July 1, 2013 after the expiration of California's Selective Provider Contracting Program.
Summary: This amendment provides that Private Hospital Supplemental Fund Program fupatient hospital supplemental payments will continue to be made to eligible hospitals, under state plan authority effective .July 1 2013 after the expiration of California Selective Provider Contracting Program.
Summary: Provides that inpatient hospital services furnished by non-designated public hospitals will be reimbursed under an All Patient Refined Diagnosis Related Group (APR-DRG) prospective payment methodology.
Summary: This amendment changes the audit selection methodology for purposes for purposes for rate setting for intermediate care facilities for the developmentally disabled including habilitative and nursing.
Summary: Demonstrates coverage of concurrent care for childrensection 2302 of the Affordable Care Act, amending sections 1905( o)( I) and 21 10( a)( 23) of the Social Security Act, removing prohibition of receiving curative treatment upon election of hospice for Medicaid eligible children.
