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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: Effective October 30, 2020, this amendment for New York's Alternative Benefit Plan (ABP) alignment removes the annual visit limit cap for physical therapy, occupational therapy, and speech therapy.
Summary: This amendment proposes to add medication assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan. This letter is to inform you that Michigan’s Medicaid SPA TN 21-0005 is approved effective October 1, 2020 until September 30, 2025, pursuant to 1905(a)(29) of the Social Security Act and Section 1006(b) of the SUPPORT Act.
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 provide allow for a temporary premium payment to be paid to specified providers for in-person care and modifying the timeframe for accepting long term care facility annual cost reports.
Summary: Effective November 1, 2020, this amendment implements a nursing facility supplemental payment for full restoration of the alternative methods of cost containment associated with the across the board two percent annual uniform reduction of Medicaid payments.
Summary: This amendment revises the State Plan to establish and authorize payment for rehabilitative and preventative services delivered to children residing in a structured and supportive living environment.
Summary: Effective January 21, 2020, this amendment updates the New York State Department of Health's Ambulatory Patient Group (APG) methodology for Outpatient Hospitals.
