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: Modifies Methods and Standards for Making Medical Assistance Payments to Intermediate Care Facilities for Individuals with Intellectual Disabilities.
Summary: Through which the state is assuring compliance with provider screening and enrollment under Section 6401 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148.
Summary: Services (CMS) received Missouri's State Plan Amendment (SPA) transmittal #12-15, which reflects an increase in the Personal Needs Allowance from $30 to $35 for individuals and from $60 to $70 for couples.
Summary: This amendment provides for a per diem increase to nursing facility and HIV nursing facility reimbursement rates by granting a trend adjustment resulting in an increase of six dollars and zero cents ($6.00) effective for dates of service beginning Jul 1, 2012.
Summary: This SPA modifies the methods and standards for making Medical Assistance payments to inpatient hospitals. Specifically, this SPA approximates a payment to the majority of hospitals at 98% of cost.
