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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 amendment proposes to adjust the Accountable Communities (AC) total cost of care (TCOC) reconciliation for year seven (PY7), which covers August 2020 through July 2021.
Summary: We are issuing a technical correction to the approval package for Medicaid State Plan transmittal number (TN) 22-0008. This amendment updates Medicaid prospective payment rates for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) based on a legislatively funded 3 percent COLA increase in order to reimburse ICF/IID providers for the increased costs for services and one-time $1500 bonus payments for full-time equivalent (FTE) employees meeting specified criteria. The original approval package included a typo in the fiscal year.
Summary: This amendment proposed to update the income standards of Maine's Optional State Supplemental Program, the beneficiaries of which are eligible for Medicaid.
Summary: The purpose of this amendment to the South Carolina Title XIX State Plan is to remove reference to Adult Day Healthcare (ADHC) transportation within a 15-mile radius of ADHC centers.
