An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Revises the Personal Care Services reimbursement methodology to increase rates of payment due to a minimum wage increase effective January 1, 2017.
Summary: Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect the recalculated weights with component updates to become effective January 1, 2015.
Summary: This amendment proposes to increase reimbursement rates for psychiatric residential treatment facilities for children and youth (PRTFs) due to the state's statutorily increases to hourly minimum wages.
Summary: Provides temporary Vital Access Provider / Safety Net Provider (VAP/SNP) enhanced payments to Trustees Eastern Star Hall and Home nursing facility.
Summary: Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, for the period January 1, 2015 through December 31, 2015.
Summary: Revises Article 28 freestanding Federally Qualified Health Center (FQHC) reimbursement methodology to increase rates of payment due to a minimum wage increase effective January 1, 2017.
