An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 references to the Average Wholesale Price and defines how the Estimated Acquisition Cost is determined based on the lesser of the Wholesale Average Cost plus zero percent and increases the pharmacy dispensing fee from $4.67 to $5.00.
Summary: This SPA transmitted a proposed revision to New Hampshire's approved Title XIX State Plan in order to remove the 18 visit service limit on physician and advanced registered nurse practitioners (ARNP) to change the psychotherapy service limit from 12 to 18 visits for adults age 21 and over and from 12 to 24 the visits for children under age 21.
Summary: This SPA proposes amendments to Hawaii's approved Title XIX State Plan to eliminate certain optional services for Hawaii's QUEST beneficiaries, as well as to impose an inpatient service limitation on this population.
Summary: Elimination of the annual inflation factor cost increase for Inpatient Hospital and Nursing Facility services for the 4th quarter of FFY 2011 (July 1, 2011 - September 30, 2011) and the 1st, 2nd, and 3rd quarters of FFY 2012 (October 1, 2011 - June 30, 2012).
Summary: This amendment inserts language into the State plan confirming the prohibition of payments to entities or institutions located outside the lJnited States. as required by section 6505 of the Affordable Care Act.
