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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Summary: The plan amendment updated the Medicaid Birthing Center Fee Schedule and removed outdated language in the state plan. The amendment change does not have a direct impact on Indian, Indian Health programs, or Urban Indian organizations.
Summary: The plan amendment implements a two percent rate reduction for early and periodic screening, diagnosis and treatment (EPSDT) therapy providers. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: The plan amendment updates the fee schedule for durable medical equipment, prosthetics, orthotics, and medical supplies. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: This plan amendment implements section 4107 of Affordable Care Act to add tobacco cessation services for pregnant women to the Texas state plan. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: This State Plan Amendment is submitted as required by Section 6401 (a) of the Affordable Care Act to establish procedures under which screening is conducted with respect to providers of medical or other items or services or supplier under Medicare, Medicaid and CHIP.
