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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: Removes the provision of an additional unit dose dispensing fee of $5.00 per recipient per month, and to remove text related to the prescription threshold limits that will be a function of the preauthorization process.
Summary: Updates the amounts of Arizona graduate medical education and indirect medical education payment pools and designates the qualifying teaching hospitals for each payment pool for the fiscal period of July 1, 2011 to June 30, 2012.
Summary: Updates the amounts of Arizona s graduate medical education and indirect medical education payment pools and designates the qualifying teaching hospitals for each payment pool for the fiscal period of July 1, 2010to June 30, 2011.
Summary: Propose a new model for Medicaid coverage and payment of case management services for children from birth up to three years of age who have ( 1) a 25 percent developmental delay in one or more areas of development, (2) atypical development, or (3) a diagnosed physical or mental condition that has a high probability of resulting in a developmental delay.
Summary: Requires States that recognize freestanding birth centers to providecoverage and separate payments for freestanding birth center facility services and servicesrendered by certain professionals proyiding services in freestanding birth centers.
