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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 is to amend the State's approved Title XIX State Plan to add coverage of the digital hearing aid and related codes as well as allowable hearing devices. This SPA limits hearing aid providers to purchase digital hearing aids only from the designated Hearing Aid Procurement Prograrn. This SPA also adds several Speech Services procedure codes, as necessitated by a change in coding standards.
Summary: Adds new procedure codes to the list of reimbursable services as part of the Dental Services and the Other Licensed Provider sections and to remove several procedurecodes as MaineCare reimbursable services.
Summary: Allows out of state trauma centers to be eligible for Trauma Center Adjustments; limits the Medicaid Percentage Adjustment payment $155 per day for a children's hospital and $215 for all other hospitals other than those hospitals organized under the University of Illinois Act; limits Direct Hospital Adjustment payments to $69 per day for Illinois teaching hospitals with 25 or more graduate medical programs that are affiliated with a Regional Alzheimer's Disease Assistance Center designated by the Alzheimer's Disease Assistance Act, that has an MIUR less than 25% on July 1, 1999, and provided 75 or more Alzheimer days for patients diagnosis as having the disease.
Summary: This amendment proposes to remove barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the Affordable Care Act.
Summary: Amends coverage language to allow other licensed practitioners of the healing arts to prescribe occupational therapy services as described under the special rehabilitative services section.
