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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: State Plan Amendment (SPA) 23-0004 was submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023.
Summary: This plan amendment was submitted to allow the Division of Medicaid (DOM) to establish a Medicaid Supplemental Payment Program for emergency ambulance transportation providers, effective July 1, 2022.
Summary: The purpose of this SPA is to comply with the American Rescue Plan (ARP) requirements for coverage of COVID vaccines, their administration and vaccine counseling services for children.
Summary: This State Plan Amendment updates the definition of rural hospitals and revises the allocation methodology used to calculate hospital-specific DSH payments made on or after July 1, 2022.
Summary: Mississippi SPA 23-0002 was submitted to allow the Division of Medicaid (DOM) to update reimbursement for autism spectrum disorder services to the lesser of the usual and customary charge or a rate calculated by an actuarial firm.
Summary: This State Plan Amendment increases the per-diem reimbursement rate for both State Owned and Non State Owned Long-Term Acute Care Hospitals (LTAC) and Inpatient Rehabilitation Facilities (IRF) by 10%.
Summary: Mississippi Medicaid State Plan Amendment (SPA) 23-0003 Home Health Services was submitted to remove rate freeze language and allow reimbursement to be updated annually based on cost reports.
Summary: This State Plan Amendment adjusts base per diem rates for Psychiatric Residential Treatment Facility (PRTF) services rendered to persons under age 21 as follows: PRTFs will be reimbursed at provider-specific prospective rates based on the SFY 2020 or more recently available cost reports, including a 5% inflation factor and removing a cost cap provision. The per diem rate for children with a co-occurring diagnosis of autism will be at prospective rates based on 2020 or more recently available cost reports specific to service delivery of children with co-occurring diagnoses. The amendment also removes a utilization standard of 90% operation capacity.
Summary: This amendment seeks to add Behavioral Support Aides as a new service in the State of Georgia. This new service will provide in home behavioral support aides to children in the home and community-based setting.
Summary: State Plan Amendment (SPA) 22-0025 was submitted to allow the Division of Medicaid (DOM) to update the disproportionate share hospital (DSH) redistribution methodology following annual audits to allow
all providers who were underpaid to receive additional payment.
