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: Updates provision of the Nursing Facility (NF) and Nursing Facility for Mental Health (NF-MH) Quality and Efficiency Incentive Factor per diem add-on. Also updates charts and exhibits within the State Plan that demonstrate the revised factors and limits applicable to the new rate period beginning with SFY 2014.
Summary: This amendment modifies the coverage and reimbursement of heart, heart-lung, and lung transplant services, as well as bariatric surgery services.
Summary: Provides for a three percent increase in the base per diem rates for nursing facility and HIV nursing facility services. Additons to the base rate and certain explicit items of fixed cost are excluded from the increase.
Summary: This amendment proposes to provide annual assurance of the pharmacy program adherence to the requirements of federal regulation for the time period October 1 2012 through September 30, 2013.