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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: Eliminate the optional group of parents and caretaker relatives, reduces the income eligibility standard for the Section 1931 group from 150% of the federal poverty line to 133% of the federal poverty line, and to reduce eligibility for certain individuals who are eligible for Medicaid based on their eligibility for Medicare.
Summary: This amendment updates the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) periodicity schedule to include eight additional preventative visits for recipients under the age of twenty-one (21).
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to implement changes to outpatient hospital reimbursements by reducing the cap on prospective interim payments (PlP).
Summary: This amendment revises the reimbursement for ICF/MR services. Specifically, it increases the adjustment for the allowable cost associated with the ICF/MR Health Care Provider tax.
