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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 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: Provides a Process Under Which the State Seeks Advice from Designees of Indian Health Programs and Urban Indian Organizations on State Plan Amendments, Waivers, and Proposal for Demonstration Projects that may Affect Indian Health, Indians, or Urban Indian Organizations.
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.
Summary: This SPA transmitted a proposed amendment to your approved Title XIX State plan to indicate that you will establish a Medicaid Recovery Audit Contractor (RAC) program as required by Federal Medicaid law.
Summary: Establishes a Recovery Audit Contractor (RAC) Program to Contract with one or more Medicaid Contractors for the purpose of Identifying Underpayments and Overpayments with Respect to All Services for Which Payment is Made to Any Entity Under Hawaii's State Plan or Approved Waiver.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to modify the Vermont Drug Utilization Review (DUR) Board's membership requirements, duties, and responsibilities.
Summary: Transmitted a proposed amendment to your Agency's approved Title XIX State plan concerning an eligibility determination system that provide for data matching through the Public Assistance Reporting Information System (PARIS) project or any successor system.
Summary: This amendment revises the reimbursement methodology for nursing facility services. Specifically, there are two components: one is an inflation adjustment to the rates; and the second component is a reduction in the case-mix weights for the four lowest Vermont RUG-III case mix categories.
