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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: Defines the Basic Alternative Benefit Plan (Basic ABP) Targeted to Serve Low-Income Children and working Age Adults with Eligible Dependent Children.
Summary: This amendment proposes updates the Outpatient Uncompensated Care DSH pool dollar amount available to hospitals who meet the minimum requirements for Medicaid DSH payment as specified in Section H.
Summary: This amendment proposes updates to the DSH pool dollar amount available to hospitals with an approved agreement between themselves and a university with both a college of allopathic medicine and a college of osteopathic medicine.
Summary: Removes the Idaho Enhanced Benchmark Benefit Package (EBBP) to comply with the requirements in the Affordable Care act to ensure that the essential health benefits and other standards are met.
Summary: This SPA defines the Enhanced Alternative Benefit Plan (Enhanced ABP) targeted to serve individuals with special health care needs operating under section 1937 authority of the Social Security Act (the Act).
Summary: This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.
Summary: This SPA amends the reimbursement methodology for Michigan's non-emergency medical transportation brokerage contract. It also provides for inclusion of Michigan's Healthy Michigan Plan population to receive covered services provided by the contracted broker.
Summary: Amends Idaho's current 1915(i) state plan benefit for children with developmental disabilities by adding "Early Intervention Provider" as a provider type. In addition, this SPA revises the quality improvement strategy language in order to align it with current state plan home and community-based services strategies.
Summary: Revises the calculation of the inpatient private hospital upper payment limit through the application of Medicare's prospective payment system, which is diagnosis-related group approach.
