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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: Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.
Summary: This amendment implements Section 112 of MIPPA, which increases the resource standards for QMBs, SLMBs and Qls to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy (LIS).
Summary: This amendment represents a complete rewrite of Attachment 4.19-D for ICF/MRs. and freezes ICF/MR per diem rates for SFY 2010 to the rates in place on June 30, 2009.
Summary: This amendment represents a complete rewrite of Attachment 4.19-D for nursing facilities (NFs), caps the NF per diem indirect care incentive payment at $9 .50, and reduces the NF inflation index adjustment from two-percent to one-percent.
Summary: Eliminates medically necessary dentures for adults and updates the effective date of the Arizona Medicaid Fee Schedule for reimbursement of the applicable non-institutional services.
Summary: Eliminates the hospice benefit for acute care program members with the exception of children under EPSDT and Arizona Long Term Care System members under 1115 waiver authority.
Summary: This SPA makes technical corrections to identify how incontinence supplies are reimbursed which reflects current practice and aligns with the current Medicare Advantage contracts.
Summary: This amendment revises the reimbursement methodology for Partial Care services provided by other health professionals authorized to administer mental health clinic services.
