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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: This amendment updates the Alternative Benefit Plan to provide authority to recognize Community Health Workers (CHWs) as Medicaid providers of necessary CHW services.
Summary: Renews authorization for the provision of nursing facility transition services to individuals who currently reside in a nursing facility and have expressed a desire to return to the community, but who have barriers to a nursing facility discharge.
Summary: Provides updates the date by which the Medicaid fee screen is effective to continue the in-person premium payment beyond the PHE for Behavioral Health Treatment Behavior Technician Services.
Summary: This amendment provides authority to cover and to reimburse for Psychiatric Residential Treatment Facility (PRTF) services for eligible Michigan Medicaid beneficiaries.
Summary: This SPA provides authority to cover and to reimburse for Psychiatric Residential Treatment Facility (PRTF) services for eligible Michigan Medicaid beneficiaries.
Summary: This amendment is to temporarily limit otherwise covered benefits for adult beneficiaries for the period June 1, 2023 through September 30, 2023 in response to the territory’s federal funding shortfall.
Summary: This SPA provides traditional state plan authority for the FY2022 and FY2023 rate setting methodology established in DR SPA 21-0015, DR SPA 22-0013, and DR SPA 23-0007. This is necessary to complete the final rate settlements for each fiscal year.CMS is issuing this technical correction package to include the final submitted revision to Section IV Page 27. CMS included an earlier version that did not describe which cost report is used in the absence of the state plan defined cost report.
Summary: To provide authority for access to family planning for Michiganders who do not qualify under the income eligibility for Healthy Michigan or traditional Medicaid but have incomes below 200 percent of the federal poverty level (195 percent of the federal poverty level with a 5 percent income disregard).
