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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 plan amendment updates fee schedules language for service rehabilitation benefits section to comply with federal requirements and updates outdated language.
Summary: This plan amendment modifies the reimbursement for the Primary Care Case Management Program and aligns it with the Healthy Connections Value Care Program.
Summary: This plan amendment will begin the coverage of interpretation services that are provided in conjunction with another Medicaid covered service.
Summary: This plan amendment increases payment rates for dental services, pharmacy dispensing fees, lactation counseling services, and personal assistance services (PAS).
Summary: This plan amendment proposes change to the intermediate care facility for individuals with developmental disabilities inflation factor for state fiscal year 2025.
Summary: This plan amendment proposes change to the intennediate care facility for individuals with developmental disabilities inflation factor for state fiscal year 2025.
Summary: Amendment to the State Plan to update the Private, State, and County-Owned Nursing Facility Supplemental Payment section to reflect changes requested by CMS before implementing the Department’s new Patient Driven Payment Methodology Upper Payment Limit (PDPM UPL) methodology.
