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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 SPA proposes to bring Wyoming into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period CMS-2345-FC).
Summary: This SPA makes changes to trauma code editing and reporting due to the advent oflCD-10-CM and acknowledges the change to the data exchange process with the Wyoming Department of Transportation.
Summary: This amendment updates the name of the designee that is authorized to submit state plan amendments for the South Carolina Department of Health and Human Services.
Summary: The Tribal Leadership Advisory Council was established through an internal Wyoming Department of Health policy to seek advice on a regular, ongoing basis from the federally recognized Wyoming Tribes and Indian Health Services on matters related to Medicaid and/ or Kid Care CHIP. The wording for this policy was added to the Tribal Consultation SPA.
Summary: Update Non-Emergency Medical Transportation (NEMT) services, and achieve compliance with the requirements for NEMT services under the broker model.
