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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 proposes to provide a physician payment to outpatient clinics of general hospitals and DTCs for primary care practitioner services provided in a patient's residence to a patient unable to leave their residence to receive services, without unreasonable difficulty.
Summary: This SPA was submitted based on enacted legislation to list a payment increase to minimum wages for Assisted Living Programs (ALPS) program sufficient enough to enlist enough providers for care.
Summary: This SPA proposes to modify the eligibility levels for the Medicaid program to reflect the revised income figures for Medically Needy households.
Summary: To adopt New York's State Plan Amendment (SPA) #12-0030, the Office for People with Developmental Disabilities (OPWDD)-Rate Setting for Medicaid Service Coordination (MSC) into the State Medicaid Plan.
Summary: This SPA implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act (1945 of the Social Security Act).
