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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 modifies the State's reimbursement methodology for setting payment rates for state operated nursing facilities (NFs) and Intermediate Care Facilities for the Individuals with Intellectual Disabilities (ICF/IIDs).
Summary: Expands South Carolina (SC) rural hospital definition to include a SC hospital that is locatedwithin a "persistent poverty county" as defined in Public Law (P.L.) 112-74.
Summary: This transmittal aligns the Idaho state plan in accordance with the Covered Outpatient Drug final rule, specifically the reimbursement of Physician Administered Drugs, and 340B contract drugs.
Summary: The purpose of this amendment is to enhance the benefit for immunizations available to adult beneficiaries, more closely aligning coverage with the Center for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommendations.
Summary: The purpose of this amendment is to add former foster care youth (individuals under age 26 who were in foster care in South Carolina at the age of 18) to the list of eligibility groups that will be mandatory enrolled in coordinated care.
