An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Proposes to Provide Annual Assurance of the Pharmacy Program Adherence to the Requirements of Federal Regulations for the Time Period October 1, 2013 Through September 30, 2014.
Summary: Sets reasonable limitations under Section 1902(r)(1)(A)(ii) for costs which may be deducted from total income when determining client obligation through post-eligibility calculations.
Summary: Describes the Modified Adjusted Gross Income (MAGI)-based hospital presumptive eligibility criteria covered under Missouri's Medicaid State Plan.
Summary: This amendment provides for a per diem increase to nursing facility and H IV nursing facility reimbursementrates by granting a one dollar and twenty-five cents ($1.25) increase to the current per diem rate\effective for dates of service beginning July 1, 2014.
Summary: Modifies the methods and standards for making Medical Assistance payments to intermediate care facilities for individuals with intellectual disabilities.