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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 modifies the methodology to North Dakota's reimbursement section. Specifically, this amendment adds language that provides for a supplemental payment for skilled nursing facilities with less than 31 beds that are owned and operated by a unit of government.
Summary: This amendment establishes the reimbursement rate paid to providers for administering the H1N1 influenza vaccine, and other vaccines provided at no cost to the provider, for adults over twenty-one (21) years of age.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically, the State proposes to increase the disproportionate share hospital payments to private hospitals that meet the eligibility requirements of Section (I11)(A) of the State's plan, but do not meet Social Security Act Section l923(b) to 100% of the current distribution.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, this amendment will implement a reimbursement rate for ventilator-dependent services.
Summary: The amendment updates the maximum allowable reimbursement for durable medical equipment services to more accurately match payments to the level of funding that was made available in the State Fiscal Year 2010 Appropriations Act.
Summary: Managed Care section is being brought into compliance with the new template and will allow Nurse Practitioners to enroll as Primary Care Providers.
