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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: Proposed to change the term "domiciliary facility" to "adult care home" and to identify specifics of personal care services coverage within the adult care home. The SPA was reviewed for the description of Personal Care Services in Adult Care Homes and whether the service violated comparability, freedom of choice of provider, and provider qualification requirements.
Summary: Updates the payment methodology for Hospice Care and implements a blank supplemental page to address future hospice rates that may be adjusted.
Summary: Apply an overall negative inflationary adjustment of 5.02 percent for SFY 2010 and freeze rates for SFY 2011 for Personal Care Services (Adult Care Homes).
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically, the amendment removes sunset language for institutions for mental disease disproportionate share hospital payments.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for intermediate care facilities for the mentally retarded.
