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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: Provides authority to allow Tribal 638 pharmacies to be reimbursed at the Indian Health Services outpatient all-inclusive rate (A.I.R.) per visit
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to cover and set reimbursement rates for the administration of EUA monoclonal antibody COVID-19 treatment by authorized EMS providers to state defined eligible beneficiaries.
Summary: This amendment proposes to add medication assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan. This letter is to inform you that Michigan’s Medicaid SPA TN 21-0005 is approved effective October 1, 2020 until September 30, 2025, pursuant to 1905(a)(29) of the Social Security Act and Section 1006(b) of the SUPPORT Act.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to provide allow for a temporary premium payment to be paid to specified providers for in-person care and modifying the timeframe for accepting long term care facility annual cost reports.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for a temporary premium payment to be paid to specified providers for in-person care, modify additional payments for specific COVID-19 nursing facilities, and increase payment for the administration of Emergency Use Authority for investigational drugs, devices, and biological agents to 100% of the Medicare rate.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for an add on hospital payment for Remdesivir. In addition, this SPA provides authority to address the National Emergency by allowing for a temporary premium payment to be paid to specified providers for in-person care, modifying additional payments for specific COVID-19 nursing facilities, and increasing payment for the administration of Emergency Use Authority for investigational drugs, devices, and biological agents to 100% of the Medicare rate.
Summary: This SPA provides authority to modify additional payments for specific COVID-19 nursing facilities. Effective January 1, 2021, the agency rescinds the election at Section E.2. of Payments of section 7.4 (approved on 06/05/2020 in SPA Number MI-20-0005) of the state plan to provide supplemental payments for Nursing Facility COVID-19 Regional Hub as designated by the State of Michigan.
