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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: Allows Florida Medicaid program an exemption to the Medicaid Recovery Audit Contractor (RACs) requirement for a period of one year after the Approval Date.
Summary: This amendment proposes to change the payment methodology for Inpatient Hospital Reimbursement. Specifically, the amendment will reduce inpatient hospital rates to achieve a savings.
Summary: This State Plan Amendment addresses the new requirements regarding Estate Recovery under section 1917(b)(1) of the Social Security Act by encouraging dual eligible beneficiaries to fully utilize Medicare cost-sharing benefits available through the Medicare Savings Program.
Summary: This amendment modifies DSH reimbursement to add new criteria for qualification and modify the distribution by changing to a District specific formula that uses only uncompensated care related to District residents. This amendment also prescribes certain data reporting requirements for DSH facilities.
