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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: Update the levels of care for ambulatory behavioral health services with the American Society of Addiction Medicine (ASAM) and to update the annual limit of Medicaid-covered, outpatient ambulatory behavioral services.
Summary: This amendment updates the State plan to provide for a four percent inflationary rate increase for psychiatric residential treatment facilities (PRTFs).
Summary: Conducts presumptive eligibility for individuals applying for coverage prior to January 1, 2014 and who needed coverage approved effective January 1 to ensure they had coverage in place.
Summary: Removes barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements.
Summary: Updates the State plan to provide for a three percent inflationary rate increase; Updates the nursing faciliiy llimit rates; and, removes obsolete language.
Summary: This amendment provides for a four percent inflationary increase for prospective payment system psychiatric and rehabilitation inpatient hospital services.
