An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Remove orthotics and prosthetics from under the category of, Medical Supplies Equipment, and Appliance Suitable for Use In The Home, and remove home health agencies as providers of durable medical equipment and appliances from under the category of Prosthetic Devices.
Summary: Submitted at our request to correct errors in the approval of SPA #03-10. This amendment will correctly reflect coverage of reasonable classification groups of individuals who are under the age of 21, are both categorically and medically needy, are former wards of the state, and who are receiving inpatient psychiatric services.
Summary: Allows primary care physicians that practice in family medicine, general internal medicine, pediatric medicine, and related subspecialists to receive increased payments for certain primary care services and vaccine administration in calendar years 2013 and 2014.
Summary: Removal of the state's Medicaid home pilot program from the state's Medicaid State Plan. This two year pilot authorized by the Nebraska Legislature was implemented in February 2011 and expired January 31, 2013.
Summary: Technical SPA to remove reimbursement language applicable to 11-022 which was included in the submiss1on of SC 11-026, Inpatient Hospital Reimbursement, and subsequently approved by CMS via the October 23, 2012 approval letter.
