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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to provide a temporary rate increase for nursing facilities, assisted living facilities, and residential care facilities.
Summary: Allows supplemental payments to nursing facilities, home and community-based residential facilities and in-home agencies that participate to support provision of health care premiums for eligible employees as required by SB 800 passed during the 2021 Legislative session.
Summary: provides for a per diem increase to nursing facility and HIV nursing facility per diem reimbursement rates of ten dollars and eighteen cents ($10.18) effective for dates of service July 1, 2021 through June 30, 2022. This per diem increase provides an adjustment to nursing facility per diem rates for increases in costs associated with staffing, supplies, social distancing standards, and other factors due to the COVID-19 national emergency.
Summary: This State Plan Amendment adds additional criteria for hospitals to qualify as a nominal charge provider with an effective date of July 1, 2021.
