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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 SPA implement the CHIP Provider Screening and Enrollment provision under Section 6401 of the Affordable Care Act (the Act) and Section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Summary: Assures that Arizona complies with the process of screening and enrolling providers and suppliers for the Medicaid program in accordance with Section 6401 of the Affordable Care Act, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid,and CHIP.
Summary: This amendment requests an exception to the January 1, 2012, implementation date in regulation and requests a date of July 1, 2012, in order to allow time for the State to enter into a multi-state contract for selection of a Medicaid recovery audit contractor.
Summary: This SPA clarifies the service descriptions and provider qualifications for behavioral health services provided under the rehabilitation services component of the State Plan.
Summary: Clarifies the service limitations and provider qualifications for home health services, therapies, diagnostic services, and private duty nursing.
Summary: Updates the amounts of Arizona s graduate medical education and indirect medical education payment pools and designates the qualifying teaching hospitals for each payment pool for the fiscal period of July 1, 2010 to June 30, 2011.
Summary: This SPA revises the reimbursement methodology for school-based claiming to provide a morecomprehensive, cost-based reconciliation process to enhance the identification of actual costs and improve the accuracy of claims reimbursement.
