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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 changes to the Child Mental Health Wraparound HCBS state plan benefit to correct errors in pagination resulting from the approved SPA TN 19-007. This SPA makes revisions to the qualification requirements for staff making level of need determinations to allow for the inclusion of experience in areas closely related to wraparound services to count towards an individual’s experience, in addition to clinical experience.
Summary: Transmittal Number (TN) 19-014 Child Mental Health Wraparound §1915(i) home and community-based services (HCBS) state plan amendment (SPA) makes technical changes to correct errors in pagination
Summary: With the passage of House Substitute for Senate Bill 109, five ambulance service codes were increased by 20% The effective date of that legislation was July 1, 2018
Summary: Updates the reimbursement methodology for Hospice Care services to include the Service Intensity Add-on (SIA) services for end of life care as outlined by CMS.
Summary: re-bases Nursing Facility and Nursing Facility for Mental Health payment rates for state fiscal year 2020. Also updates charts and exhibits with the State plan that demonstrate the revised factors and limits applicable to the rate period beginning with SFY 2020.
