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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 rates for the Community First Choice program attendant and habilitation services, personal care attendant services, habilitation CFC services and the associated consumer directed services for the CFC program.
Summary: The purpose of this amendment Is to clarify state plan requirements related to the Early and Periodic Screening, Diagnosis, and Treatment Eyeglass Program and the Medicaid VIsion Care Program for Individuals age 21 and older.
Summary: Adjusts the payment rates for the Day Activities and Health Services program to be equal to the payment rates in effect on August 31, 2015 plus an additional $0.06 increase to the base rate.
Summary: The proposed amendment revises all references to the Pharmaceutical and Therapeutics Committee by inserting the Drug Utilization Review Board (DUR) Board In its stead. The scope of the DUR board is also updated to accurately reflect the membership makeup and current duties of that committee.
Summary: Updates the physicians and other practitioners' fee schedules and changes the reimbursement methodology for physician-administered drugs and biological products when a new national procedure code is assigned.
