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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: Making technical and editorial changes and delete obsolete language to the Title XIX Outpatient Hospital Reimbursement Plan effective July 1, 2014.
Summary: This SPA affirms state residency regulations and addresses interstate agreements and temporary absence in accordance with Affordable Care Act.
Summary: The purpose of this amendment is to increase the Personal Needs Allowance (PNA) from $35 to $105 for individuals and $70 to $210 for couples, for Social Security and Medicaid eligible nursing home residents and for individuals in Intermediate Care Facilities.
Summary: This SPA amends Consumer Directed Care Option (CDC+) for individuals enrolled in the Traumatic Brain and Spinal Cord Injury (TBI/SCI) and the Aging and Disabled Adult (ADA) waivers.
Summary: This amendment establishes conditions and guidelines for Freestanding Birthing Centers according to the Affordable Care Act of March 23, 2010.
Summary: Establishes That One or More Qualified Hospitals Are Determining Presumptive Eligibility, and that the State is Providing Coverage For Individuals Determined Presumptively Eligible.
Summary: This amendment allows the current Medical School physician supplement payment methodology to continue for services through June 30, 2014 with a maximum total computable reimbursement of $83,384,893.
