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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: Proposes to continue the three percent (3%) reduction that is currently financed by the quality assessment fee and revises the quality rate add-on and the total quality score value-based purchasing methodology.
Summary: Revises Medicaid reimbursement rates for medical equipment, medical supplies, and vision supplies and reestablishes the state's previous reimbursement methodology on a time-limited basis.
Summary: Reimbursement for medical equipment and medical supplies into compliance with the 21st Century Cures Act of 2016 and State Medicaid Director letter 18-001.
