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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: Implements a rate reduction effective for claims with dates of service from October 1,2011 to September 30, 2012 for all non-institutional services except as otherwise noted. Inthat period, reimbursement will be reduced by 5 percent of the payment that otherwise would have been made under the methodology in effect as of October 1, 2010.
Summary: This SPA implements an outpatient hospital reimbursement rate reduction effective for claims with dates of service from October 1, 2011 to September 30, 2012.
Summary: Decreases the estimated acquisition cost from average wholesale price minus 10.25 percent to AWP minus 13.1 percent for dates of service beginning on July 1, 2011.
Summary: Allows Arizona to rebase its outpatient hospital reimbursement fee schedule effective October 1, 2011 using the most current available Medicare cost data.
