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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: Removes eligibility for individuals who were in foster care and on Medicaid in any state at the time they turn or aged out of the foster care system.
Summary: The originally submitted SPA 09-0023 concerned rates of payment for hospital and outpatient clinic emergency department, certified health agency, adult day health and freestanding diagnostic and treatment center services. The SPA was split into two parts: 09-0023-A and 09-0023-B. SPA 09-0023-A, which contained the reimbursement-related provisions, was previously approved.
Summary: Limits the trend factor for inpatient hospital services to an amount to greater than zero for services provided on an after April 23, 2015 through March 31, 2017.
Summary: This amendment proposes to update the state Medicaid program' s drugs on which it may exclude from coverage or otherwise restrict in order to comply with the requirements of the 21' Century Cures Act.
