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: Suspend the current provisions governing nursing facility payments in order to ensure that the rates in effect do not increase for the state fiscal year 2016 rating period.
Summary: Revises reimbursement methodologies for inpatient hospital rates and methodologies for measurement year 2016 pay for performance program updates.
Summary: This State Plan Amendment (SPA) adopts the provisions governing coverage and reimbursement for labor and delivery services rendered by free-standing birthing centers (FSBCs).
Summary: The purpose of this SPA is to amend the provisions governing RHC service limits in order to remove the limits for Medicaid recipients 21 years of age and older.
Summary: Changes Provisions Governing Outpatient Hospital Services In Order to Remove the 12 Visits Per Year Limit on Physician Services Provided in a Clinic in an Outpatient Hospital Setting.
Summary: Amends the provisions governing therapeutic group homes in order to: revise the terminology to be consistent with current program operations and revises the reimbursement methodology to establish capitation payments to managed care organizations for children's services.
Summary: Changes the provisions governing school based health services in order to transition these services out of managed care and into the group of school based Medicaid services provided by Local Education Agencies.
Summary: Revises reimbursement methodologies for inpaitent hospital access payment rates and reorganizes the state plan to make information flow more logically.
