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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: This State Plan Amendment provides an increase to the ground ambulance transport services fee-schedule rates. These services include advanced life support levels one and two, advanced life support level one emergency, basic life support, basic life support emergency, and specialty care transport.
Summary: The state adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
Summary: The State memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.
Summary: The SPA clarifies how the premium assistance program determines if premium assistance is estimated to be cost effective and aligns with policies and current practice.
Summary: Effective for services on or after January 1, 2023, this amendment will modifying Wisconsin's reimbursement methodology as it relates to the number of months a cost report and supporting documentation are required after a facility’s cost reporting period.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to temporarily extend the suspension of premiums for the state's Work Incentives group under section 1902(a)(10)A)(ii)(XIII) of the Act.
Summary: Effective for services on or after July 1, 2022, this amendment will modifying Wisconsin's reimbursement methodology to nursing homes and intermediate care facilities for individuals with intellectual disabilities.
Summary: This State Plan Amendment supersedes TN: 13-005 and increases the rate of reimbursement for Monkeypox Vaccine Administration to $15. This rate will expire with the conclusion of the Monkeypox public health emergency.
