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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: Requirement that Medicaid pay physicians practicing in family medicine, general internal medicine, pediatric medicine, and related subspecialists at Medicare levels for the procedure codes specified in the Act for Calendar Years 2013 and 2014.
Summary: This amendment proposes to adjust the payment methodology for Long Term Care services. Specifically the amendment proposes to increase reimbursement rates resulting from a change to the 2009 cost report from the 2006 cost report as the basis for reimbursement rates.
Summary: The purpose of this State Plan Amendment is to provide assurances that the State is in compliance with the Screening and Enrollment of providers.
Summary: This amendment makes the changes and clarifications necessary for Georgia to be responsive to the Department of Justice Settlement through the addition of new services and modifications to existing services.
Summary: This SPA was submitted to implement tobacco cessation counseling services for pregnant women as directed per State Medicaid Director letter (SMDL) 11-007.