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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: Redirects troubled youth away from residential placements to more cost-effective, family-focused, mental health and substance abuse treatment options, allowing them to live at home.
Summary: This SPA was initially submitted on September 24, 2012 with a stated purpose of amending the Florida County Health Department Reimbursement Plan payment methodology, effective July 1, 2012. Based on the HCFA 179 submitted by the State, federal budget impact would be $3,983,000 in FFY 2011-12 and $15,993,000 in FFY 2012-13.