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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 amendment was submitted to relfect that adults previously served by the Developmental Day Treatment Clinic Service Centers will now be served by the Adult Developmental Day Treatment (ADDT) programs, where participants will also be given the opportunity to receive nursing services with prior authorization.
Summary: This amendment was submitted to comply with all changes made to the Arkansas State Plan in July of 2017 regarding the implementation of thresholds for occupational, physical, and speech therapies.
Summary: Increase the Medicaid maximum hourly reimbursement rate for Private Duty Nursing Services, and update the fee schedule Uniform Resource Locator (URL).
Summary: This amendment was submitted to transition the Arkansas Medicaid eligibility criteria from being a "determination" State to an "assessment" State by removing the authority to delegate eligibility to the Health Care Exchange.
Summary: Removes Attention Deficit Hyperactivity Disorder (ADHD), Oppositional Defiant Disorder (ODD), and their comorbid diagnoses as Episodes of Care (EOC) from the Rehab, Psychology, and Physician Services payment pages.
