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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 is to add two additional provider types, Licensed Dietician, and Licensed Genetic Counselor, to the Other Licensed Practitioner section of the State Plan.
Summary: This amendment to amend the State Plan to include additional provider types for rehabilitative services and designates Licensed Professional Counselors as Other Licensed Practitioners
Summary: This is to amend the State Plan to change state plan page Attachment 2.6-A Page 26 to reflect that the state uses the maximum Community Spouse Resource standard permissible under federal law.
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 extend the 5% increase in payment rates for ODDS services and settings for the period 7/1/22 through 9/30/22 or until the end of the PHE, whichever is first.
Summary: This amendment provides for an inflationary increase of .25 percent for inpatient hospital services, updates the All Patient Refined Diagnosis Related Grouper to version 39 and updates the cost outlier methodology.
Summary: This State Plan Amendment supersedes TN: 21-0018 on the 4.19-B page 7a. which implements an inflationary increase for Targeted Case Management Services of 1/4th% (.25%).
Summary: This State Plan Amendment supersedes TN: 21-0011 pages 1, 1a, 1b, 2, and 3b, which implements an inflationary increase of 1/4th% (.25%) for services rendered by Medicaid Providers.
