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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: Technical correction to restore the limits on physical, occupational and speech therapy for Medically Needy individuals 21 years of age or older.
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 establish a February 2021 COVID-19 interim payment for primary care medical providers (PCMP) who provide integrated services. PCMPs who received an October 2020 COVID-19 interim payment (approved in TN 20-0035) are not eligible to receive the February 2021 COVID-19 interim payment.
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 authorize all providers licensed to administer vaccines to administer pediatric immunizations if the vaccine product used was provided free of cost by the federal government. It also confirms coverage of the administration of COVID-19 vaccines and tests in accordance with the PREP Act.
Summary: Effective January 01, 2021, this amendment allows for an increase to the pediatric personal care reimbursement rate for Denver-area providers.
Summary: Effective October 1, 2020, this amendment creates the Minimum Wage Supplemental Payment for qualifying nursing facility providers, for services on or after the effective date.
Summary: Effective January 1, 2021, this amendment provides a 2.5 percent inflationary increase for Psychiatric Residential Treatment Facility (PRTF) services, for services on or after the effective date.
Summary: This amendment aligns the home health services rule with the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act, and federal regulation, by adding nurse practitioners, clinical nurse specialists, and physician assistants to the list of practitioners who can order home health services.
