An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: Change in the State Plan to reflect provisions of Amended Substitute House Bill 1 (128th Ohio Gneral Assembly) requiring missing facilities (NFs) to arrange for transportation services for their residents in return for an additional amount per diem general update of Plan language.
Summary: Revision of the sunset date of coverage of case management within the rehabilitation section of Ohios Medicaid state plan from July 1, 2011 to July 1, 2012.
Summary: This state plan amendment accommodates the October 1, 2010 implementation of the Minimum Data Set Version 3.0 (MDS 3.0) resident assessment instrument (RAI) by the Centers for Medicare and Medicaid Services (CMS). The RAI is the assessment tool used in Ohio to measure resident acuity, is the foundation for planning and delivering care to nursing facility (NF) residents, and is used in the calculation of NF reimbursement rates.
Summary: Documentation of elimination of resource tests for qualified children, foster, adoption children, and Ribicoff children under Title XIX of the Social Security Act and qualification for the 2011 CHIPRA performance bonus under Title XXI of the Social Security Act.
Summary: Methods and standards for payment of Targeted Case Management services provided to certain Medicaid eligible individuals who are determined to have mental retardation or other developmental disability according to Section 5126.01 of the Ohio Revised Code.
Summary: This amendment inserts language into the State plan confirming the prohibition of payments to entities or institutions located outside the lJnited States. as required by section 6505 of the Affordable Care Act.
