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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: Establishes additional payments to Medicaid safety net Federally Qualified Health Centers (FQHCs) to sustain access to services. Enclosed are copies of SPA 16-0046 and the HCF A-179 form as approved.
Summary: Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
Summary: Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.
Summary: To continue the trend factor to an amount no greater then zero for nursing facility for services provided on and after April 23, 2013 through March 31, 2017.
Summary: Updates the ASC reduction factor to maintain budget neutrality in response to a Medicare rate change and clarifies OPPS language per companion letter dated June 22, 2015 for SPA 14-0016.
