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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 proposes to revise the NY single-state Medicaid Supplemental Rebate Agreement (SRA) to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.
Summary: Revises temporary Vital Access Provider/Safety Net Provider enhanced payments for four nursing homes and adds payments for one additional facility.
Summary: Allows Medicaid to align with the requirements of the Alabama Board of Medical Examiner's Administrative Code for Qualifications and Limitations of Physician's and Physician Extenders (e.g. nurse practitioners, physician assistants).
Summary: This SPA provides a temporary rate adjustment under New York's VAP program to Medicaid fee for service rates for certain Certified Home Health Agencies.
