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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: Extends the methodology for the distribution of indigent care pool funds to general hospitals for the three-year period January 1,k 2016 through December 31, 2018.
Summary: Revises temporary Vital Access Provider/Safety Net Provider (VAP/SNP) enhanced payments for eight nursing homes and adds new payments for 47 additional facilities.
Summary: Allows a temporary adjustment to the Medicaid rate for certain Federally Qualified Health Centers for the period January 1, 2014 through March 31, 2016.
Summary: Implements a new nursing home advanced training program aimed at teaching staff to detect early changes in resident's physical and mental or functional status that could lead to hospitalization.
Summary: This SPA replaces the state's methodology for setting inpatient rates for specialty hospitals certified by the New York Office for People with Developmental Disabilities (OPWDD) with a per-diem fee schedule.