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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 clarifies that Psychiatric Treatment Facilities for Children and Youth (PRTF) providers are permitted to access medically necessary drugs by utilizing fee-for-service pharmacies beginning with the date a child is determined Medicaid eligible.
Summary: This SPA adds Erie County Medical Center to the list of Eligible Providers regarding supplemental payments to5certain professional practitioners. These supplemental payments are applicable only to the professional component of the eligible services provided.
Summary: This SPA allows emergency medical services provided in the hospital emergency room to be certified and signed by the attending licensed physician, nurse practitioner or physician assistant at the time the service is rendered and documented in the medical record.
Summary: Removes barbiturates, benzodiazepines and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the ACA.
Summary: Proposes Supplemental Payments to hospitals operated by Health and Hospitals Corporation in NY city other than specialty hospitals for the period April 1, 2014 through March 31, 2014 in the amount of $274,284,787.
