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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: 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: Requires states that recognize freestanding birth centers and the services rendered by certain other professionals providing services in a freestanding birth center to cover the services provided by those centers and professionals as mandatory Medicaid services eligible for FFP.
Summary: Clarifies the current physician payment methodology pursuant to CMS' request via the March 20, 2013 companion letter to CMS' approval of NJ State Plan Amendment 12-09 submitted to allow optometrists to participate in the NJ Medicaid Electronic Health Records Incentive Program.
Summary: Provides a separate reimbursement methodology for dental services provided to beneficiaries with chronic medical conditions and/or developmental disabilities.
