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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 is required by Section 6411 of the Affordable Care Act pertaining to the Medicaid Recovery Audit Contractor Program., where the state is requesting a time limited exception in order to complete the procurement process.
Summary: The plan was amended to cover additional inpatient psychiatric and mental health days above the current limit of 24 days for individuals age 21 and above. The plan amendment has no direct impact on Indians, Indian Health programs, or Urban Indian Organizations.
Summary: The Arkansas Title XIX State Plan was amended to allow Advanced Practice Nurses ( APN) to perform a psychiatric diagnostic assessment under the Rehabilitative Services for Persons with Mental Illness ( RSPMI). The Advanced Practice Nurse will be under the direct supervision of a psychiatrist.
Summary: The plan amendment will provide for payment of Medicaid personal care services in assisted living facilities on a per diem basis. No tribal consultation was required, therefore no direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: The plan amendment revises the Medicaid maximum reimbursement rates for clinical laboratory services. This amendment did not require a tribal consultation.
Summary: Provides Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Summary: To implement a conflict-free case management, adds a small population of clients transitioning into the community from nursing facilities and revises the current reimbursement methodology for targeted case management beneficiaries age 60 and older.
Summary: Prohibits Medicaid payments to institutions and entities located outside of the United States inaccordance with Section 6505 of the Affordable Care Act.
