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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: Continues DSH payment adjustments with an increase to qualifying hospitals that serve indigent populations of cities with an average per capita income significantly below statewide averages.
Summary: Continues an additional class of disproportionate payments for acute care hospitals ranked at least three standard deviations above the mean with respect to Medicaid inpatient days and above the 99th percentile of all acute care hospitals with respect to discharges.
Summary: Continues provisions for disproportionate share hospital payments to certain acute care hospitals that further PAs goal of enhanced access in economically distressed areas.
