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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: Effective January 1, 2023 this amendment revises rate year (RY) 2023 reimbursement for privately-owned acute care hospital services. Specifically, it implements payment for: behavioral health crisis evaluation services; acute inpatient discharge add-on; and a Clinical Quality Incentive (CQI) program.
Summary: This plan amendment updates the methods and standards used to determine the rates of payment for surgery and anesthesia services.CMS is issuing this technical correction to state plan amendment (SPA) MA-23-0018. This technical correction includes an update to the superseding transmittal number in the footer of the plan page.
Summary: This amendment looks to 1) update the coverage and payment methods and standards used by Massachusetts for psychologist services; and 2) to establish coverage and payment methods and standards used by Massachusetts for licensed independent clinical social worker services.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to suspend all pharmacy copays for eligibility groups consistent with 42 CFR 435 Subparts B, C, and D.
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 suspend all pharmacy copays for eligibility groups consistent with 42 CFR 435 Subparts B, C, and D. (Effective date 5/1/22 and through the duration of the federal public health emergency).
Summary: This amendment proposes rate year (RY) 2023 supplemental payments to privately-owned psychiatric hospitals for COVID related services provided in DMH-approved Dedicated COVID psychiatric Units.
