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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: Allows Medicaid to align with the requirements of the Alabama Board of Medical Examiner's Administrative Code for Qualifications and Limitations of Physician's and Physician Extenders (e.g. nurse practitioners, physician assistants).
Summary: This SPA expands the state's health homes program statewide and adds Hepatitis C as a covered chronic condition. The State plan pages for this SPA were submitted through the Medicaid Model Data Lab (MMDL) on September 17, 2014.
Summary: This SPA allows the Alabama Medicaid Agency to continue allowing eligible primary care physicians that practice in family medicine, general internal medicine or pediatric medicine to receive enhanced payments for certain specified procedure codes for elvaluation and management services and certain Vaccines for Children vaccine administration codes.
Summary: The primary purpose for this amendment is to rescind the broker model and update the description of the system of delivery for the NonEmergency Medical Transportation.
Summary: This SPA extends Transitional Medical Assistance to an initial period of 12 months, per option provided by the American Recovery and Reinvestment Act.
Summary: This SPA allows the Alabama Medicaid Agency to increase Durable Medical Equipment (DME) provider reimbursement to 80 percent of Medicare's allowed amount.
Summary: Discontinue the Certified Public Expenditure (CPE) program for State and Non State governmental hospital facilities and to implement plan authority for an Upper Payment Limit (UPL) program for State and Non-State governmental hospitals.
