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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 a separate reimbursement methodology for dental services provided to beneficiaries with chronic medical conditions and/or developmental disabilities.
Summary: Revises the National Medicaid Pooling Initiative (NMPI) Supplemental Rebate Agreement (SRA) previously submitted to CMS on March 20, 2008 to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.
Summary: Maintains the Charity Care Subsidy Disproportionate Share Hospital (DSH) payments at $675 million for SFY 2014 and revises the related pool allocation methodology.
Summary: This amendment relates to the exclusion of the annual inflation factor, referred to as the economi\.' factor recognized under the CMS TEFRA target limitations.
