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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: The plan amendment updates the fee schedule for durable medical equipment prosthetics, orthotics, and supplies. The plan amendment does not have a direct impact on Indians, Indian Health programs or Urban Indian organizations.
Summary: The plan amendment updates the physicians and other practitioners' fee schedule. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: This amendment updates the administrative practices, definitions, and procedures for State and Non-State Disproportionate Share Hospitals (DSH).
Summary: This state plan amendment implements changes in federal law pertaining to provider enrollment and provider screening and assures that the State complies with the regulations at 42 CFR 445 Subpart E. The State indicated that there is no fiscal impact. This SPA does not have a direct impact on tribes; therefore, tribal consultation was not required.
Summary: Reimbursement to private practicing podiatrists for podiatry services furnished to Medicaid eligible adults, age 21 and older, with a diagnosis of diabetes mellitus. (FMAP = 50%).
Summary: This amendment proposes that the capital cost component of the rate for eligible residential health care facilities shall be adjusted to reflect Medicaid's share of the costs of the annual debt service related to the financing of an automatic sprinkler system that will be in compliance with new federal regulations.
Summary: New York State proposes to eliminate the expanded definition of "estate" and define the term "estate" to include all real and personal property and other assets included within an individual's estate and passing under the terms of a valid will or by intestacy.
