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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 changes the language from birth attendant to licensed direct entry midwife to better define the actual service provider that Montana Medicaid covers for reimbursement.
Summary: This amendment adds Collaborative Practice Drug Therapy Management as a Medicaid-covered service, as well as a corresponding reimbursement methodology to Montana' s State Plan.
Summary: This amendment will allow a separate payment in addition to the prospective payment system rate( PPS) for long- acting reversible contraceptive devices LARCs), and to allow an enhanced PPS rate to FQHCs and RHCs whenever a member attends a Promising Pregnancy Care session provided in conjunction with an obstetric visit.
