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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: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for a temporary change to the nursing facility rate setting methodology.
Summary: This amendment proposes temporary rate adjustment for specified private nursing facilities with aggregate payment amount of $5,389,378 for the period October 1, 2021 through March 31, 2022.
Summary: SPA establishes Alternative Benefit Plan(ABP) MI uses to implement requirements of the Healthy Michigan Plan(HMP) as stated in MI's PA 107 of 2013.
Summary: Provides authority to amend the method for determining the current asset value bed limit for Class 1 nursing facilities by recognizing an upper limit based on a rolling 15-year history of new construction costs.
Summary: add-on payments to Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) providers for state required minimum wage increase. This amendment also makes provisions for ICF/IID ownership and control payments for specified circumstances.
