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: Includes University of North Carolina and Vidant Teaching Hospitals in the previously approved reimbursement methodology for outpatient hospital services.
Summary: Revises the payment methodology for nursing facility services. This Also proposes to freeze the case mix index used to adjust the direct care component of the per diem rate at the index in effect.
Summary: Establishment of Puerto Rico poverty level (PRPL) for non-ABO (aged, blind, and disabled) coverage groups, expansion of income threshold to 133% of PRPL for R(2) groups.
Summary: This SPA incorporates MAGI-Based Eligibility Groups and AFDC Income Standards into Puerto Rico's state plan in accordance with the Affordable Care Act.
Summary: Freezes the rates for Targeted Case Management for Children and Adults with Serious Emotional Disturbance, or Severe and Persistent Mental Illness or Substance Abuse Disorder for State fiscal years 2014 and 2015.
Summary: Freezes rates for Targeted Case Management for Children and Adults with serious emotional disturbance or severe and persistent mental illness or substance abuse disorder.
Summary: Freezes the rates for Targeted Case Management for Adults and Children At-Risk for Abuse, Neglect, or Exploitation (ACRM) at the rate in effect on June 30, 2013, for State fiscal years 2014 and 2015.
