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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: Effective April 1, 2020, this amendment provides an annual update to the State's supplemental teaching physician payment program using the Average Commercial Rate.
Summary: This amendment provides an increase to rates for Medicaid nursing facility providers relating to COVID-19 occupancy issues, COVID-19 employee test costs, and updated base year cost reports.
Summary: Provides an increase to the current home based private duty nursing services rates, vision services rates, and anesthesia services codes for services provided
Summary: add reimbursement for Therapeutic Foster Care (TFC) and the corresponding billing code for use by Child Placing Agencies (CPAs) contracted with the South Carolina Department of Social Services (SCDSS)
Summary: Proposes to update the current Medicaid nursing facility rates for all private and non-state owned governmental facilities by providing for a COVID-19 4% add-on to assist and reimburse nursing facilities for the unanticipated costs incurred in their response to its coronavirus protection of residents as well as facility staff
Summary: Proposes to update the reimbursement methodology for drugs procured through the 340B program to allow for claim-level identification of 340B drug