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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 physician and other licensed practitioners fee schedule, including all components of the effective date language in the State Plan. The amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.
Summary: The plan amendment provides cost reimbursement for ambulance services furnished by government providers, changing the interim rate which will be settled to cost. The amendment change will not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: This amendment denies additional Medicaid payments for costs incurred for potentially preventable conditions in the inpatient hospital setting.
Summary: The plan amendment adds family partners as providers credentialed to provide mental health rehabilitative skill training and development and medication training and support for the benefit of the Medicaid eligible child. This plan amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.
Summary: The plan amendment adds three transportation service areas to the non-emergency transportation brokerage program. This amendment change does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: The plan amendment removes the reimbursement for supplemental payments for public owned dental providers under EPSDT. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
