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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: Effective July 1, 2021, this amendment implements a one percent (1%) Cost-of-Living Adjustment (COLA) to psychiatric residential treatment facility (PRTF) rates.
Summary: This amendment is Developmental Screen for Children by adding language to the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and AR Kids-B Medicaid manuals allowing primary care providers (PCPs) to perform a developmental screening for children between the ages of forty-eight (48) and sixty (60) months.
Summary: This SPA is making a technical correction to remove "Intensive In-Home Service" from the services list since this is not a service within this approved 1915 benefit.
Summary: To authorize payment for Evidence-Based Practices (EBPs) provided to children/youth referred and eligible for Children and Family Treatment and Support Services (CFTSS) by agencies designated in Other Licensed Practitioner (OLP) and/or Community Psychiatric Supports and Treatment (CPST) by the New York State designation process that have completed the EBP training and certification process.
Summary: This plan amendment proposes to reimburse for Continuous Glucose Monitors (CGM), and related Diabetic Supplies at Wholesale Acquisition Cost (WAC) plus the applicable professional dispensing fee.
