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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increased rates for State Plan Services including Children and Family Treatment and Support Services (CFTSS).
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add rehabilitative reintegration services to help beneficiaries with behavioral health problems to function in the community.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to expand the list of qualified providers for both Rehabilitative Preventive Residential Treatment (PRT) services and Rehabilitative Residential Treatment Services.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add coverage for the administration of the influenza vaccine, performed by Medicaid-enrolled Emergency Medical Technicians and Paramedics.
Summary: This SPA provides coverage for COVID-19 vaccines and vaccine administration, testing, and treatment in accordance with section 9811 of the American Rescue Plan (ARP).
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to temporarily extend the suspension of Medicaid copayments for all items and services for all eligibility groups until Sept. 30, 2024.
Summary: This State Plan Amendment adjusts inpatient hospital rates to take into account increased labor costs resulting from statutorily
required increases in the New York State minimum wage. Specifically, the SPA updates the inpatient hospital minimum wage cost for the Remainder of the State region from $12.50 to $13.20 per hour. Total minimum wage cost is determined by applying total hours by the difference between the statutory minimum wage and the midpoint of each wage band plus the calculated fringe benefit.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to provide Reimbursement of antibody infusions.
Summary: To adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
