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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 replaces the current Level of Functioning (LOF) survey with the Virginia Individual Developmental Disabilities Eligibility Survey standards for individuals seeking Intermediate Care Facilities for Individuals with Intellectual Disabilities services. By using the VIDES standards for institutional care, the Commonwealth is restoring the consistency of applied functional standards for these individuals regardless of whether they obtain their care in the communities via a waiver or in ICF/IID institutions.
Summary: This SPA proposes that the Department of Medical Assistance Services (DMAS) will conduct provider screenings according to federal requirements, and that DMAS will terminate or deny enrollment to providers according to those federal requirements.
Summary: Identifies the requirements for licensure, certification, or accreditation that Home Health Agencies (HHAs) must meet to participate as a provider of home health services in Virginia Medicaid.
Summary: No outpatient hospital inflation adjustment for state fiscal year 2018 with the exception of 100% of inflation to the Children's Hospital of the King's Daughters.
