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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: Adds the optional Medicaid eligibility group which provides coverage to women and men that is limited to family planning and family planning related services under the state plan (template S59).
Summary: Implementation of a new method of calculating Wyoming Medicaid' s financial responsibility for eligible individual's Medicare crossover co-insurance and deductibles for covered and non-covered services.
Summary: Modifies the state's reimbursement methodology for setting payment rates for long-term care psychiatric hospitals. Specifically, this amendment increase the payment rate.
Summary: This plan complies with economy and efficiency as required by section 1902(a)(30) of the Social Security Act to an acceptable reimbursement methodology with regards to the Supplemental Teaching Physician Payment Program.
Summary: Removes payment for reserve bed days in long term care facilities, and allows for percentage adjustment for each bed range group for nursing facilities.
