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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: Purpose to update reimbursement rates for county health departments (CHD) and includes technical and editorial changes, deletes obsolete language, and provides CHDs to buy-back any rate reduction not to exceed cost.
Summary: Purpose of making technical and editorial changes and delete obsolete language to the Title XIX Outpatient Hospital Reimbursement Plan effective July 1, 2016.
Summary: This amendment is to update the language regarding the payment methodology for Indirect Medical Education (IME) and Graduate Medical Education (GME).
Summary: This SPA makes technical and editorial changes and differentiate the reimbursement methodologies of hemodialysis and peritoneal dialysis treatments.
Summary: Adds coverage for behavior analysis services by providing highly structured interventions with the goal of targeting and decreasing maladaptive behavior for recipients under the age of 21 years for whom behavior analysis services are recommended by a licensed physician.
