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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 State Plan Amendment is updating the inpatient hospital reimbursement to include a new supplemental payment. The new supplemental payment is the Psych Adjustment Payment.
Summary: On August 1, 2023, the Centers for Medicare and Medicaid services (CMS) received Missouri State Plan Amendment(SPA) MO-23-0014 to increase the Care Coordination component of the Primary Care Health Home Per-Member-Per-Month rate.
Summary: This state plan amendment adds language to reimburse ambulatory surgical centers (ASC) from a fee schedule based on Medicare’s ASC Payment System.
Summary: This state plan amendment updates the Medicare fee schedules, MO Healthnet fee schedules and the National Advisory Service (NDAS) used to determine outpatient reimbursement rates.
Summary: This Medicaid State Plan Amendment (SPA) provides for the transformation of MO HealthNet nursing facility reimbursement rates by establishing a new reimbursement methodology.
Summary: This SPA adds a value-based supplemental payment for Home and Community Based Personal Care Providers. Based upon the information provided by the State, we have approved the amendment with an effective date of February 1, 2023.
