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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: This plan amendment updates Medicaid reimbursement rates for physical therapy, occupational therapy, and speech-language therapy services under the home health benefit.
Summary: The District is seeking to sustain requests approved in their Temporary Extension to the Medicaid Disaster Relief COVID-19 National Emergency SPA #23-0004, which expires on May 11, 2024, by adding its language to the permanent Housing Supportive Services (HSS) 1915(i) Home and Community-Based Services SPA. If approved, this SPA will permit the HSS program to continue to utilize the appropriate determination and redetermination tools to ensure that District residents secure and maintain permanent supportive housing and to allow expanded provider qualifications for case manager supervisors.
Summary: To technically correct the plan to add back approved language erroneously dropped from the approved SPA 19-0003 and carried forward to approved SPA 22-0043.
Summary: The definition of rural designation for inpatient psychiatric services is changed from an average county population density of 225 per square mile to 300 per square mile based on 2020 census data.
Summary: Effective February 1, 2022, this amendment revises Psychiatric Residential Treatment Facility (PRTF) rates to include a twenty-five (25%) rate adjustment to the clinical/direct care component of the rate.
Summary: Effective 12/31/2021, this amendment provides for minimum wage increases for psychiatric residential treatment facility (PRTF) service providers.
Summary: Effective July 1, 2021, this amendment implements a one percent (1%) Cost-of-Living Adjustment (COLA) to psychiatric residential treatment facility (PRTF) rates.
