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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 requires that uncompensated care costs associated with Medicaid days must meet the Department's established criteria for pre-admission certification and length of stay assignment in order to qualify for DSH payment.
Summary: Provides for supplemental payments to inpatient non-rural, non-state hospitals that enter into an agreement with a state or local governmental entity for the purpose of providing healthcare services to low income and needy patients.
Summary: Amends the disproportionate share hospital reimbursement methodology to establish a DSH category and payment methodology for hospitals that participate in the Low Income and Needy Care Collaboration.
