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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 increases base period costs used to set inpatient hospital per diem rates by the current Hospital Market Basket Index as published in the Healthcare Cost Review by IHS. Additionally, this SPA specifies that base inpatient hospital costs for all subsequent State fiscal years will be increased by this index.
Summary: This amendment clarifies the Disproportionate Share Hospital (DSH) interim payment calculation process, including clarifying and amending the State DSH survey reporting requirements and exceptions process to receive an interim DSH payment or an adjustment to the interim DSH payment.
Summary: Implements the increased asset limits for MO HealthNet permanent and totally disabled claimants, MO HealthNet blind claimants, and MO HealthNet aged claimants as mandated by state legislative action.
Summary: This amendment proposes coverage and reimbursement of emergency and certain other medical services furnished by off-island and out-of-country providers, effective April 1, 2017.
Summary: This amendment increases payment rates by 2.00% for non-state operated intermediate care facility for individuals with intellectual disabilities (ICF-IID) services.
Summary: Provides annual assurance of the pharmacy program adherence to the requirements of the Federal Upper Limits (FUL) federal regulation for the time period October 1, 2015 through September 30, 2016.
