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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: Indicates that Published Rate is Paid for Up to 5 Visits Per Recipient in AHCCCS-registered facilities that provide covered services to Medicaid in an Indian Health Service or tribal 638 Facility.
Summary: Covers certain non-citizen children and pregnant women who are lawfully residing in the United States and otherwise meet the criteria for coverage under Medicaid or CHIP, but who are barred from participation in the program during their first five years of residence in the United States. This SPA will add coverage to otherwise eligible pregnant women through Medicaid.
Summary: This SPA propose to implement a process of screening providers and suppliers and create a temporary enrollment moratorium for certain providers under the Commonwealth of Virginia's Medicaid program, in accordance with Section 6401 of the Affordable Care Act.
Summary: This SPA implements comprehensive changes to the effective date related to fee-for service providers for the following services: Physicians' Services, Dental Services, Mental Health Services, Podiatry, Nurse-Midwife Services, Durable Medical Equipment, Local Health Services, Laboratory Services, Handling Lab Specimens, X-Ray Services, Optometry Services, Medical Supplies and Equipment, Home Health Services, Physical Therapy, Occupational Therapy, Speech Therapy, Clinic Services, Personal Assistance Services, Supplemental Physician Payments and Supplemental Payments to Non-State Government Clinics.
Summary: Which the State establishes supplemental payments for services provided by physicians at Virginia freestanding children's hospitals with greater than 50 percent Medicaid inpatient utilization in state fiscal year 2009 for furnished services provided on or after July 1, 2011. The SPA also eliminates the 4 percent reduction for all procedures set through the resource-based relative value scale (RBRVS) process effective for dates of service on or after July 1, 2011. Additionally, the SPA adds information for calculating the physician supplemental payment amounts using the Medicare equivalent of the average commercial rate (ACR) methodology prescribed by CMS.
Summary: Implements an Asset Verification System as part of the Medicaid eligibility determination and recipients. Defines the requirements of the Asset Verification System.
Summary: Assures that Arizona complies with the process of screening and enrolling providers and suppliers for the Medicaid program in accordance with Section 6401 of the Affordable Care Act, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid,and CHIP.
