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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: Adds a new criterion for class 1 nursing facility rate relief eligibility that would allow nursing facilities with a variable rate base of less than or equal to 60% of the corresponding years variable cost limits to apply.
Summary: This SPA removes State Plan language that allows for the Children's Outpatient Hospital Adjuster Pool to be funded as a Title XIX/Medicaid payment. The payment has been converted to a Title XXI/Childrens Health Insurance Program (CHIP) funded payment.
Summary: This SPA implements the use of an alternative payment methodology (APM) to reimburse Federally Qualified Health Centers (FQHCs) for medical and dental services.
Summary: This amendment proposes updates the Indigent Care Agreement DSH pool dollar amount available to hospitals with an approved agreement between themselves and a partner health care related entity in the area.
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: 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.
