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: This amendment was submitted to update physician and mid-level practitioner payment rates and service descriptions, which resulted in a decrease in State expenditures for Medicaid services.
Summary: This amendment was submitted to reduce payment rates for home health intermittent skilled nursing services by six and three-quarters of a percent.
Summary: This SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association , Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the desc_ripti ons of several other services.
Summary: This SPA was submitted to revise your approved Standard ABP to update the selection of the base benchmark plan to the 2014 Government Employee Health Association, Inc. plan. This SPA also added limited services clinics to the Clinic Services section under EHB1, and added clinic services to the descriptions of several other services.
Summary: This amendment proposed to reimburse clotting factor obtained through the 340B program at the product's 340B ceiling price plus 1.3662 percent, plus the professional dispensing fee of 2.75 cents per unit.
