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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 plan amendment makes a technical change to select a new base benchmark plan in accordance with Alternate Benefit Plan conforming changes requirements.
Summary: This SPA proposes to provide coverage of a set of services to ensure improved outcomes of women who are in the process of ovulation enhancing drugs, limited to the provision of such treatment, office visits, hysterosalpingogram services, pelvic ultrasounds, and blood testing; services shall be limited to those necessary to minor such treatment.
Summary: This amendment makes revisions to the New York State Medicaid program, including changes to the coverage and reimbursement provisions for certain Medicaid services provided by health care facilities licensed by the New York State Department of Health, Office for People with Developmental Disabilities, Office of Mental Health and the Office of Alcoholism and Substance Abuse Services, and provides updates and revisions to the Ambulatory Patient Group methodology for freestanding clinic and ambulatory surgery center services.
Summary: This SPA provides for temporary rate adjustments to Medicaid rates for the North Country Homes as an eligible Licensed Home Care Agency that has been subject to or impacted by the closure, merger, consolidation, acquisition or restructuring.
Summary: This SPA authorizes supplemental payments to certain non-state government operated hospitals for outpatient services in the period April 1, 2015 through March 31, 2016.
Summary: Will provide a methodology to establish a rate adjustment for hospitals that are designated as a new teaching hospital for direct and indirect medical education costs.
Summary: This state plan amendment proposes to continue reimbursement for Medicaid's portion of a provider tax on nursing home gross receipts and maintain various cost containment measures that otherwise would have expired.
