An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services.
Summary: Revision for the Ambulatory Patient Group (APG) methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect the recalculated weights with component.
Summary: This reduces the Health Home per member per month outreach payment, eliminates the September 30, 2018 expiration date for the per member per month Health Home rates for children, and establishes a rate adjustment for dates of service beginning June 1, 2018 through December 31, 2018, for Health Homes that are designated to serve children.
Summary: This 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 adjusts Medicaid service payments in response to a New York State Supreme Court decision in the Matter of The Bronx-Lebanon Highbridge-Woodycrest Center.
