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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: The purpose of this State Plan Amendment is to submit a corrected organizational chart. The chart submitted with MA-15-005 contained an error.
Summary: Adds coverage for services provided by a licensed applied behavioral analyst or assistant applied behavioral analyst to children under age 21.
Summary: Revises the approved Title XIX State Plan to describe the State's Asset Verification System that will be used to verify assets for determining or re-determining Medicaid eligibility for the aged, blind and disabled populations.
Summary: Removes the lower $2.50 dispensing fee, and apply a $3.65 dispensing fee to all Medicaid fee-for-service pharmacy claims without regard to product selection.
Summary: Provides coordinated care under State Plan authority for individuals with the chronic conditions of Serious Mental Illness and Severe Emotional Disturbance.