An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Expands Health Homes into 8 additional counties with 7 providers. Will pilot a high fidelity wraparound model with 2 providers for children/adolescents. One provider will be first Tribal Health Home.
Summary: Implementation of NJ Family Care 1115 Demonstration Waiver as it pertains to guardian commission associated with personal needs allowance in the post eligibility treatment of income.
Summary: This SPA proposes to modify reimbursement for inpatient hospital facilities. Specifically this amendment proposes to reduce rates as approved during 2017 Florida Legislative Session.
Summary: This SPA updates the Outpatient Hospital reimbursement methodology with rate adjustments approved during the 2017 Florida Legislative Session and includes technical and editorial changes.
Summary: This SPA proposes to implement UPL supplemental payments for eligible Cancer hospitals that are members of the Alliance of Dedicated Cancer Centers.
Summary: Updates the methodology NJ uses to calculate the amount would otherwise paid (A WOP) for Program for All-Inclusive Care for the Elderly (PACE) rates to comply with NJ moving to managed care long term care (L TC).
