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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for a temporary change to the nursing facility rate setting methodology.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to adjust incontinence supply competitive bid rates.
Summary: Updating the Opioid Health Home to reflect the current Opioid Heath Home (OHH) to optimize and expand the OHH in select Michigan Counties. The specific counties include: Arenac, Barry, Bay, Berrien, Branch, Cass, Clare, Clinton, Eaton, Gladwin, Gratiot, Hillsdale, Huron, Ingham, Ionia, Isabella, Mecosta, Midland, Montcalm, Newaygo, Oakland, Osceola, Saginaw, Shiawassee, St. Joseph, Tuscola, and Van Buren.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow administration of COVID-19 therapies and treatments by licensed paramedics within the scope of their practice as defined under State law.
Summary: Provides authority for updates to non-emergency medical transportation (NEMT) provider qualification requirements per the Consolidated Appropriations Act of 2021.
Summary: Proposes to update the effective date for the SPA that establishes the Alternative Benefit Plan MI uses to implement requirements of the Healthy Michigan Plan.
Summary: The 1915(i) Behavioral Health state plan amendment (SPA), which runs concurrently with an 1115 Behavioral Health demonstration for managed care, will be extended for one year. The 1915(i) serves individuals with serious emotional disturbances and intellectual and developmental disabilities.
Summary: This SPA waives Northern Mariana from participation in the Medicaid Drug Rebate Program (MDRP) under the authority of 1902(j) of the Social Security Act.
