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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 proposes to bring Michigan into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC) and establishes methodologies and requirements for the reimbursement of Medication Therapy Management (MTM) Services.
Summary: This amendment proposes to provide a 12% inflationary increase for one quarter for specified nursing facilities that inadvertently did not receive the 3% inflationary increase provided to other nursing facilities.
Summary: To change the expiration date of the Hospital Provider Fee and its associated rate increase from June 30, 2017 to June 30, 2020 per Georgia SB 70.
Summary: This SPA makes provider payment update to include revisions to Routine Home Care Hospice rates and Service Intensity Add-On rates effective July 1, 2017.
Summary: This SPA adds to the scope of services to children, youth and families, modifies service modalities and revises reimbursement methodology for Community Behavioral Health Rehabilitation Services (CBHRS).
