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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: Revises the reimbursement methodology for rehab clinics in order to increase the rates for physical and occupational therapy services rendered to recipients under the age of 21.
Summary: Revises the reimbursement methodology school based health centers in order to increase the reimbursement rates for physical and occupational therapy.
Summary: Revises the rehab services covered Home Health to increase reimbursement rates for physical and occupational services for recipients under age 21.
Summary: The purpose of this SPA is to correct an inadvertent omission of language which governed disproportionate Share Hospital payments to public, non-rural community hospitals in the approval.
Summary: Reduce the amount appropriated from $4,925,000 to $1,000,000 for annual supplemental Medicaid payments for non-rural, non-state and private acute care hospitalsthat qualify as high Medicaid hospitals.
Summary: This SPA provides for substantive changes to the existing TOPS The Optimal PDL Sol7ution TOPS State Supplemental Rebate Agreement SRA, which includes revised definitions, and structural changes to the SRA.
