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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 clarifying language in 4.19-B, Section 9, page 2 and adjusts SFY 2010 and freezes the SFY 2011 rates for Ambulatory Surgical Center based on an overall program reduction of 5.46 percent for SFY 2010.
Summary: Adjusts State Fiscal Year (SFY) 2010 and freezes the SFY 2011 rates for Physician Services, Independent Laboratories and Eyeglasses based on an overall program reduction of 4.90 percent for SFY 2010. SFY 2011, rates are frozen at the SFY 2010 amount.
Summary: This amendment adjusts State Fiscal Year (SFY) 2010 and freezes SFY 2011 rates for the Home Infusion Therapy Program based on an overall program reduction of 4.12% for SFY 2010. SFY 2011, rates are frozen at the SFY 2010 amount.
Summary: This amendment adjusts State Fiscal Year (SFY) 2010 and SFY 2011 rates for the Dental Program based on an overall program reduction of 5.79%. SFY 2010 and SFY 2011, rates are frozen at the SFY 2010 amount.
Summary: Proposed amendment to your approved Title XIX State plan to elect the option in §214 of the Children's Health Insurance Program Reauthorization Act of 2009, Public Law No. 111-3. This option allows State to provide full Medicaid coverage to otherwise eligible alien children or pregnant women lawfully residing in the United States.
Summary: This amendment revises the methodology for making disproportionate share hospital (DSH) payments. Specifically it updates the base year for determining the DSH cost from hospital fiscal year 2006 to hospital fiscal year 2007. In addition, it revises the payment limits for existing DSH pools.
Summary: To bring the State in compliance with what they were actually doing. On August 1, 2008 North Carolina reduced the annual visit limit from 24 to 22 visits (visits are authorized beyond 22 when medically necessary).
