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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: Add private practice settings to the fee for service (FFS) delivery system to ensure that individuals who had been receiving services in those settings under the Rhody Health Options (RHO) program.
Summary: Increases flexibility by moving some requirements from the State Plan into the broker agreement and to expand the types of transportation providers, allow for mileage reimbursement and transportation to non-Medicaid providers.
Summary: This authorizes the coverage and payment of Medically Necessary Durable Medical Equipment, Prosthetics, Orthotics and Supplies as part of the American Samoan Medicaid State Plan.
Summary: This is an amendment to Rhode Island's Title XIX State plan to implement an electronic Asset Verification System (AVS) that will verify the assets of aged, blind, and disabled applicants and recipients of Medicaid as required by Section 1904(a) of the Social Security Act.
