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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 describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CFR 435.119.
Summary: This amendment updates the State Plan to indicate that prior quarter coverage will be covered for all Title XIX populations effective on January 1, 2014.
Summary: Incorporates into the State Plan guidance developed by the Department of Medical Assistance Services to aid preadmission screening for lcams in interpreting the Uniform Assessment Instrument when the applicant is younger than 21 years of age.
Summary: This amendment provides that, effective from October 1 2013 to September 30 2014 inpatient hospital services will continue to be paid at the rate in effect as of September 30 2011 reduced by five percent.
Summary: This SPA updates the amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2013.
Summary: Reflect the revisions, effective for specified dates of service, to the list of vaccine product codes eligible for the primary care rate increase.
Summary: This SPA provides clarification of language stating that Medicare Part D drugs are not covered for full benefit dual eligible members because coverage is provided through Medicare Part D Prescription Drug Plans and Medicare Advantage Prescrption Drug Contracting.
