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: Authorizes an additional class of disproportionate share hospital payments that have a lowcommercial payment ratio, a negative trend in net patient revenue, and are located in an area of the Commonwealth with a disproportionate Medicaid need.
Summary: Continues an additional class of disproportionate share hospital payments to promote access to services and to support academic medical programs.
Summary: Adds a section related to the grant agreement between the Commonwealth and local entities that describes the direct agreement the agency may enter into with a qualified public or private entity (primary contractor) when county governments elect not to administer the Medical Assistance Transportation Program, and how grant funding is disbursed to primary contractors to provide non-emergency medical transportation.
Summary: Continues provisions for disproportionate share hospital payments to certain acute care hospitals that further PA's goal of enhanced access in economically distressed areas.
Summary: Continues an additional class of disproportionate payments for acute care hospitals ranked at least three standard deviatgions above the mean with respect to Medicaid inpatient days and above the 99th percentile of all acute care hospitals with respect to discharges.
