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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: Adds outpatient hospital acute crisis units; updates rate methodology for Outpatient Behavioral Health Services acute crisis units, and adds the same rate methodology for Outpatient Hospital Acute Crisis Units.
Summary: Proposes to move currently approved in-home peritoneal dialyses services from the clinic benefit to the home health and other licensed provider benefit without a change in reimbursement
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to modify the other licensed practitioner benefit to allow licensed pharmacists within their state scope of practice with CLIA waiver certification to provide diagnostic COVID-19 antigen tests; and to reimburse pharmacists providing COVID testing using a state-developed fee schedule for diagnostic testing.
Summary: The Arkansas Department of Human Services (DHS), Division of Medical Services (DMS) will amend the Medicaid maximum unit reimbursement rate for personal care services
