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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: The SPA implements the International Classification of Diseases, Revision 10 - Clinical Modification (ICD-10-CM) for hospital outpatient services.
Summary: This State Plan Amendment implements International Classification of Diseases Version 10 (ICD-10) for freestanding clinics in accordance with Federal requirements.
Summary: This SPA changes the retroactive effective date of eligibility for all eligibility groups except Qualified Medicare Beneficiaries from the date of eligibility/application to the first day of the month of eligibility/application under the Medicaid State plan.
Summary: Provides supplemental payments to hospitals operated by Health and Hospitals Corporation other than Coney Island in New York City for the period April 1, 2011 through March 31, 2013, in the total amount of $184,425,795.
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: Changes the effective date of eligibility for all eligibility groups except Qualified Medicare Beneficiaries from the date of eligibility/application to the first day of the month of eligibility application under the Medicaid State plan.