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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 SPA eliminates the add-on reimbursement for delivery of psychiatric rehabilitation services to individuals with mental illness residing in nursing facilities, which was $10 per day.
Summary: To update the reimbursement methodology for Certified Nurse Anesthetists as part of the Advance Practice Registered Nurse section of the State Plan.
Summary: Authorizes the Chicago Public Schools to procure a vendor or vendors to manufacture eyeglasses for individuals enrolled in a CPS system school.
Summary: Implements legislative change to clarify the timeframe during which nursing facilities must demonstrate their compliance with the October 2011 Cost-of-Living Adjustment for nursing facility front line staff.
Summary: Proposes to allow federal qualified health centers (FQHCs) and rural health clinics (RHCs) to be reimbursed under an alternate payment methodology for Long Acting Reversible Contraceptives (LARCs) and non-surgical, transcervical permanent female contraceptive devices.