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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: The purpose of this SPA is to add text into the State Plan regarding the reimbursement of dental services to reflect the inclusion of updated dental procedure codes in the agency fee schedule.
Summary: This SPA proposes that the Department of Medical Assistance Services (DMAS) will conduct provider screenings according to federal requirements, and that DMAS will terminate or deny enrollment to providers according to those federal requirements.
Summary: Increases the professional dispensing fees and revise reimbursement for Physician\uDBC0\uDC03Administered Drugs when no published Medicare rate exits.
Summary: Identifies the requirements for licensure, certification, or accreditation that Home Health Agencies (HHAs) must meet to participate as a provider of home health services in Virginia Medicaid.