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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: Modifies the listing of hospital-based outpatient providers that the state has designated as Vital Access Provider (VAP) payments for the period 01/01/2014 - 03/31/2016.
Summary: Provides for a $300,000 supplemental payment to Oswego Hospital which the state has designated to be a Vital Access to Provide for Outpatient hospital services furnishes during the period 01/01/2013 - 03/31/2013.
Summary: The State of New York reimburses these services through the use of rates that are consistent with and promote efficiency, economy, and quality of care and are sufficient to enlist enough providers so that care and services are available under the plan at least to the extent that such care and services are available to the general population in the geographic area as required by 1902(a) (30) of the Social Security Act and 42 CFR 447.204.
Summary: To Clarify the continuation of provisions that provide a rate adjustment to hospitals inspected by a merger or acquisition that were inadvertently omitted when NY split SPA 11-0024 in four separate amendments.
Summary: Determines the appropriate FMAP rate for expenditures for individuals transferring from the State's 1115 Waiver to the adult group described in 42 CFR 435.119 and receiving benefits in accordance with 24 CFR Part 440 Subpart C.