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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 amendment proposes to establish rates for four additional autism spectrum disorder (ASD) services, and to clarify the service definition for family adaptive behavior treatment guidance.
Summary: This plan amendment update the rates for the core Rehabilitative Behavioral Health Services (RBHS) treatment services for private master's level providers and licensed psychologists.
Summary: This plan amendment proposes change to the intermediate care facility for individuals with developmental disabilities inflation factor for state fiscal year 2025.
Summary: This plan amendment proposes change to the intennediate care facility for individuals with developmental disabilities inflation factor for state fiscal year 2025.
Summary: This amendment allows physician assistants to prescribe physical therapy, occupational therapy, and services for speech, hearing, and language disorders in the clinic, with both physician assistants and advanced practice registered nurses being able to prescribe these in the home setting.
Summary: This plan amendment updates Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) statewide rates effective for services provided on and after April 1, 2024, based upon a legislative cost-of-living increase (COLA).
