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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: Updates the physicians' and other practitioners' state plan pages by identifying the new conversion factor (CF) for anesthesia services provided by certain children's hospitals.
Summary: Updates the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and the hearing aids and audiometric evaluations fee schedules.
Summary: Allows the Texas Health and Human Services Commission (HHSC) to make Medicaid Direct Graduate Medical Education payments to nine non-state government-owned and operated teaching hospitals.
Summary: Corrects the physicians' and other practitioners' state plan page by identifying the new conversion factor (CF) and removing conversion factors no longer used for anesthesia services.