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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 amendment creates a new nursing home specialty rate for the neurodegenerative disease population, which includes only those patients diagnosed with Huntington's disease and Amyotrophic Lateral Sclerosis.
Summary: This amendment proposes to continue to reimburse converted Targeted Case Management (TCM) providers at the existing Health Home Legacy rate from September 1, 2016 to November 30, 2016.
Summary: To use the Temporary Assistance for Needy Families (TANF) option as the means tested public benefits program to support Medicaid eligibility determinations.
Summary: To continue a pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.
Summary: This amendment is to update the language regarding the payment methodology for Indirect Medical Education (IME) and Graduate Medical Education (GME).
Summary: Establishes additional payments to Medicaid safety net Federally Qualified Health Centers (FQHCs) to sustain access to services. Enclosed are copies of SPA 16-0046 and the HCF A-179 form as approved.
Summary: Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
