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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 amendment includes a reminbursement methodology to cost settle covered laboratory services rendered by Local Health Departments to Medicaid recipients, not to exceed the Medicare Laboratory Fee Schedule.
Summary: This amendment aligns the Non-Emergency Medical Transportation policy pages with regard to Adult Care Home residents with the existing rate setting for Adult Care Homes.
Summary: This amendment revises the cost settlement for outpatient services performed at Vidant Medical Center (previously known as Pitt County Memorial Hospital) to 100 percent of allowable costs.
Summary: Includes University of North Carolina and Vidant Teaching Hospitals in the previously approved reimbursement methodology for outpatient hospital services.
