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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 assurance that the state is in compliance with the non-emergency medical transportation (NEMT) requirements outlined in Section 1902(a)(87) of the Social Security Act.
Summary: Certification requirements and delivery methods for Orientation and Mobility Specialists within School-Based Services are being updated within the State Plan.
Summary: This amendment establishes the annual aggregate limit and continues funding for inpatient disproportionate share, outpatient supplemental and direct medical education payments.
Summary: The SPA authorizes the discontinuation of the Medical Assistance Stability inpatient supplemental payment and modification to the reconciliation process to account for the elimination of MA Stability payments.
Summary: This Amendment increases payment for providers reference in Utah’s American Rescue (ARPA) Act Home and Community Based Services (HCBS) Funding Spending Plan.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to pay Federally Qualified Health Centers and Rural Health Centers for the administration of COVID-19 vaccines when the vaccines are not provided during the course of a billable encounter visit.
