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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 SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association , Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the desc_ripti ons of several other services.
Summary: This SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association, Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the descriptions of several other services.
Summary: This state plan amendment makes conforming changes to the state plan to extend the current 3% rate reduction for inpatient hospital services that is currently set to expire 6/30/17.
Summary: Effective July I ,2017, state plan amendment (SPA) l7-0006 makes conforming changes to the state plan to extend payments rate reductions for nursing facilities (NF) that are currently set toexpire 6130117. Under this State Plan Amendment (SPA), the current rates will continue through June 30, 2019.
Summary: This state plan amendment extends the current three percent rate reduction for outpatient hospital services (excluding ambulatory surgical center reimbursement), which is currently set to expire on June 30, 2017.
Summary: This amendment proposed to reimburse clotting factor obtained through the 340B program at the product's 340B ceiling price plus 1.3662 percent, plus the professional dispensing fee of 2.75 cents per unit.
Summary: This SPA proposes to bring Indiana into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment (CMS-2345-FC).
