An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Incorporates into the State Plan guidance developed by the Department of Medical Assistance Services to aid preadmission screening for lcams in interpreting the Uniform Assessment Instrument when the applicant is younger than 21 years of age.
Summary: Reflect the revisions, effective for specified dates of service, to the list of vaccine product codes eligible for the primary care rate increase.
Summary: Modifies the District's Nursing Facility prospective payments system to re-instate the annual inflation and adjustment applied to each facilities specific rate.
Summary: Clarifies Authority and Responsibilities of the Single State Agency and Its Relationship to Other Federal and State Agencies, The Fair Hearing Process, and the Process of Determining Eligibility.
Summary: To implement reimbursement methodologies for targeted casemanagement for high risk pregnant women, and infants up to age 2; seriously mentally ill adults; emotionally disturbed children, or for youth at risk of serious emotional disturbance; individuals with intellectual disability; and individuals with developmental disability.
