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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: To implement a 2017-18 budget modification to reduce the case finding payment from $135 to $110 per member per month and to modify the claiming period for the case finding fee from 3 months to 2 months which may be extended for an additional 2 months.
Summary: This SPA revises ABP 5 to expand family planning benefits to match the proposed expansion for these services in the New York Medicaid State Plan under the categorically needy population.
Summary: This SPA is submitted based on enacted legislation and proposes to revise the State Plan to amend procedures for soliciting advice for designees of the State's Indian Health Programs concerning Medicaid and CHIP matters that may have an impact on Indians or Indian Health Programs.
Summary: Revises the Personal Care Services reimbursement methodology to increase rates of payment due to a minimum wage increase effective January 1, 2017.
Summary: Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect the recalculated weights with component updates to become effective January 1, 2015.
Summary: This amendment proposes to increase reimbursement rates for psychiatric residential treatment facilities for children and youth (PRTFs) due to the state's statutorily increases to hourly minimum wages.
Summary: Provides temporary Vital Access Provider / Safety Net Provider (VAP/SNP) enhanced payments to Trustees Eastern Star Hall and Home nursing facility.
