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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 revises reimbursement for general hospital inpatient services. Specifically, this SPA proposes to reduce specified payments by an additional one percent (1%).
Summary: The amendment proposes to add housing support services under the rehabilitative services benefit, including psychosocial rehabilitation, counseling, and other services to help beneficiaries maintain housing in the community
Summary: amendment proposed to eliminate capital reimbursement for residual equity payments and reduce capital reimbursement by five percent for all adult day health care facilities.
Summary: Proposes to implement a 5% reduction to the inpatient hospital add-on for capital and to reduce the impact from reconciliations of capital to actuals
