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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: Changes the methodology for updating nursing home rates quarterly for changes in acuity and resource needs during a traditional period while the State migrate from using the Vermont-specific RUG-III method of categorizing residents to the new Federal classification system known as RUG-IV which utilizes MDS 3.0.
Summary: This SPA transmitted a proposed amendment to Vermont's approved Title XIX State plan to increase the Federal poverty guidelines (FPGs) for various poverty level groups to reflect the increase in the FPGs as published in the Federal Register (FR) on January 20, 2011.
Summary: Prohibits Illinois from making payments for items or services provided under the State plan to any finanial institution or entity located outside of the United States.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to revise the payment methodology for all hospitals for outpatient services to comply more closely with Medicare OPPS 2011 payment provisions.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to implement the Resource Based Relative Value System (RBRVS) as a reimbursement methodology for certain providers of services within the State's Medicaid fee schedules.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to update the current name of the head of the single State agency that has the authority to submit the Medicaid State plan or plan amendments.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to provide an assurance that the State shall not make any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to update the organizational structure of the single State agency. Specifically, you proposed to update the departments within the Agency of Human Services and the Attorney General's certification.
