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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: Establishes that one or more qualified hospitals are determining presumptive eligibility, and that the state is providing coverage for individuals determined presumptively eligible, in accordance with the Affordable Care Act.
Summary: This SPA amends supplemental payment related to medical education costs for various provider types, including enrolled hospital, medical center, clinic, practioner,or other organization that provides accredited clinical training of; physicians (medical students and residents), doctor of pharmacy practitioners, doctors of chiropractic, dentists, advance practice nurses and physician assistants, and effective July 1, 2015 dental therapists, advanced dental therapists, psychologists, clinical social workers, community paramedics, and community health workers.
Summary: Revises methodologies and standards for determining payment rates by increasing payments for family planning and dental services and intermediate care facilities for persons with developmental disabilities using a prospective rate setting methodology.
Summary: Technical revisions to Children's Therapeutic Services and Supports, and increases the payment rate for mental health crisis response services.
Summary: Expands access to medication therapy management services and allows physician assistants to provide medication management services in outpatient setting.
Summary: Revises the description of children's mental health service plan and also makes technical changes to the children's therapeutic services and supports day treatment package.
