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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: To use the Temporary Assistance for Needy Families (TANF) option as the means tested public benefits program to support Medicaid eligibility determinations.
Summary: This amendment proposes to continue to reimburse converted Targeted Case Management (TCM) providers at the existing Health Home Legacy rate from September 1, 2016 to November 30, 2016.
Summary: To continue a pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.
Summary: Defines optometrists as "physicians" in the state of Oregon for Medicaid billing and services, which makes them eligible providers for the Electronic Health Record (EHR) Incentive Program.
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: Removes language referring to the "live-in" program and "24-hour availability" of homecare workers and personal support workers as well as other technical revisions to align with program changes enacted to address requirements of the Federal Department of Labor regulations.
