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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: The plan amendment allows individuals under the age of 21 to receive treatment for terminal illness in addition to hospice services. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian Organizations.
Summary: The plan amendment updates the state plan to comply with the change in the law, which requires Part D drug coverage of barbiturates used in the treatment of epilepsy, cancer, or a chronic mental health disorder and benzodiazepines.
Summary: The plan amendment increases rates for targeted case management from $4.25 to $7.50 per unit service. There was no tribal consultation performed because there are no federally recognized tribes in Arkansas.
Summary: The plan amendment implements a payment improvement initiative which provides positive incentive adjustments in the form of gain sharing to reward providers who succeed in delivering higher, quality, patient-centered, and cost-effective care for designated episo9des of care and requires providers who do not meet the cost of care and or quality thresholds to make risk-sharing payments back to the Medicaid agency.
