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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 amendment makes revisions to the New York State Medicaid program, including changes to the coverage and reimbursement provisions for certain Medicaid services provided by health care facilities licensed by the New York State Department of Health, Office for People with Developmental Disabilities, Office of Mental Health and the Office of Alcoholism and Substance Abuse Services, and provides updates and revisions to the Ambulatory Patient Group methodology for freestanding clinic and ambulatory surgery center services.
Summary: This SPA provides for temporary rate adjustments to Medicaid rates for the North Country Homes as an eligible Licensed Home Care Agency that has been subject to or impacted by the closure, merger, consolidation, acquisition or restructuring.
Summary: This SPA authorizes supplemental payments to certain non-state government operated hospitals for outpatient services in the period April 1, 2015 through March 31, 2016.
Summary: This State plan amendment updates the Qualified Medicaid Practitioner Enhanced Payment and Average Commercial Rate Demonstration for a calendar year to set a Medicaid teaching physician rate based on a percentage of the Medicare rate.
Summary: Will provide a methodology to establish a rate adjustment for hospitals that are designated as a new teaching hospital for direct and indirect medical education costs.
Summary: This State plan amendment sought to describe the current reimbursement methodology for TCM, consistent with statutory and regulatory federal requirements.
Summary: This state plan amendment proposes to continue reimbursement for Medicaid's portion of a provider tax on nursing home gross receipts and maintain various cost containment measures that otherwise would have expired.
Summary: Extends funding to the April 1, 2017 through March 31, 2020 period for certified home health agencies, AIDS home care providers and hospice service providers for the purpose of improving recruitment, training, and retention of home health aides or other personnel with direct patient care responsibility.
