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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: This SPA allows the agency to cover Medicaid-enrolled private and charter schools for services rendered in a school setting for children under the age of 21 years.
Summary: This amendment updates outdated language pertaining to home health visit services, specifically, the number of home health visits available to recipients.
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 proposes to bring New Jersey into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Summary: Increases nursing home Medicaid rates by $12.41 million and provides an additional $3,577,000 to increase specialty care nursing facility per diem rates for the period January l, 2015 through June 30, 2015.
Summary: Adds a provision that limits rates from dropping below prior SFY rates and (2) Proposes an additional $650,000 to be allocated to special care nursing facilities for the period January 1, 2014 through June 30, 2014.
Summary: This SPA updates outdated language pertaining to hearing services coverage policy and the coverage requirements for hearing aid devices and cochlear implants.