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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: Temporary rate adjustment under the Vital Access Provider (VAP) program to a specific provider for inpatient hospital services. The temporary rate adjustment recognizes additional cost of providers impacted by the closure, merger, consolidation, acquisition or restructure of a health care provider.
Summary: Continues supplemental payments to hospitals operated by Health and Hospitals Corporation in New York City for the period April 1, 2015 through March 31, 2016 in the amount of $200,000,000.
Summary: This amendment proposes temporary rate adjustments under the Vital Access Provider program to specific providers for inpatient hospital services.
Summary: This amendment proposes temporary rate adjustments under the Vital Access Provider program to specific providers for inpatient hospital services.
