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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to update the State Plan to include emergency provisions including: suspension of co-payments, adjust current benefits, expand telemedicine services, increase payment rates, eliminate sanctions for cost reports, and modify occupancy limits.
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 provide coverage of Remdesivir and Convalescent Plasma therapy treatment for hospitalized patients with confirmed or suspected COVID-19.
Summary: This SPA proposes to bring Florida into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Summary: This SPA revise the APR-DRG from version 31 to version 32. In addition, the amendment proposes to: increase the base inpatient DRG rate paid to hospitals, provide for an additional add-on payment for trauma centers, adjust the outlier marginal cost percentage, and provides for additional funding for the Statewide Residency Program.
Summary: Changes the service limits for comprehensive tobacco cessation services provided to pregnant women including both counseling and pharmacotherapy, without cost sharing.
Summary: Temporarily activates payment for CPT code 90686 influenza vaccine for Medicaid recipients who are pregnant and age 21 and older, in addition to the current coverage for birth through 20 years of age.
Summary: Changes in pharmacy coverage required by section 175 of the Medicare improvement for patients and providers ACT of 2008 which amended section 1860D-2(e)(2)(A) of the ACT to include barbiturates.
