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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 Amendment proposed changes in pharmacy coverage required by Section 175 of the Medicare Improement for Patients and Oroviders Act of 2008 which amended section 1860D-2 (e) 2 (A) of the Act in include barbiturates" used in the treatment of epilepsy, cancer, or chronic mental health disorder" and benzodiazepines in Part D drug coverage.
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.
Summary: Identifies the non-financial eligibility requirements for both citizens and eligible non-citizens and incorporates them into Virginia State Plan.
Summary: This SPA proposes to amend the State Plan to reflect the revisions, effective for dates of service on or after July 1, 2013, to the list of vaccine product codes eligible for the primary care rate increase.
Summary: This SPA modifies the State's methods and standards for setting payment rates for inpatient hospital services. Specifically, this amendment authorizes supplemental payments to private hospitals where a Type One teaching hospital has a minority interest.
