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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 SPA proposes to bring New Jersey into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
Summary: Revises the amount of supplemental payments for Type One physician services. Effective April 1, 2017 , the supplemental payment amount for Type One physician services shall be the difference between the Medicaid payments otherwise made for physician services and 256% of Medicare rates.
Summary: This SPA proposes to require a face-to-face encounter be performed by an approved practitioner with the Medicaid beneficiary in order for payment and delivery of Home Health Services under Medicaid.
Summary: This SPA eliminates outdated text and to include new text related to Addiction and Recovery Treatment Services that was not included in the 1115 Waiver that was approved by CMS on December 15, 2016.
Summary: Increases nursing home Medicaid rates by $12.41 million and provides an additional $3,577,000 to increase specialty care nursing facility per diem rates for the period January l, 2015 through June 30, 2015.
Summary: Specifically, the SPA continues supplemental payments to private hospitals where a Type One teaching hospital maintains a minority interest by adding two additional private facilities.
