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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: SPA proposes to reimburse these through the use of rates that are consistent with and promote, efficiency, economy, and quality fo care and to enlist providers.
Summary: This will continue to pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.
Summary: The state is revising its policies to allow individuals to re-certify up to the last day of the month of the enrollment period. The state is also documenting transition of children into the State of Health (state's marketplace) for re-enrollment rather than going through the plans.
