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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: This amendment proposes to make services provided by certified school psychologists eligible for Medicaid reimbursement as directed by the Rhode Island legislature.
Summary: This amendment proposes to provide coverage of all approved vaccines recommended by the Advisory Committee on Immunization Practices and vaccine administration when furnished by a qualified provider.
Summary: On September 20, 2023, CMS received Rhode Island State Amendment RI-23-0010 for CEDAR Health Homes. EOHHS is seeking approval from CMS to update Rhode Island’s Medicaid State Plan to implement a change in the rate methodology for Cedar Family Centers.
Summary: Amendment to the State Plan to implement a new price-based methodology for private nursing facilities and cost-based methodology for state-owned nursing facilities.
Summary: To implement a 7% rate increase for Rehabilitative services offered in community-based group homes for children and youth with intellectual/ developmental disabilities.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add homemaker services during the COVID-19 public health emergency (PHE) for Idaho’s 1915(i) HCBS Adult Developmental Disability Program. The SPA also authorizes a waiver of signatures for drug dispensing during the PHE.
Summary: We have reviewed the proposed Rhode Island State Plan Amendment (SPA) to Attachment 4.19- B, RI-23-0007, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on August 15, 2023 to extend a temporary rate increase to providers of First Connections services to increase Children's Group home rate.
Summary: The purpose of this SPA is to comply with the requirements within section 1905(a)(4)(F) of the Social Security Act to cover COVID-19 vaccines, vaccine administration, testing and treatment.
