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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: "Individuals Eligible for Family Planning Services," the State elects to cover individuals who are not pregnant, and have household income at or below a standard established by the State, whose coverage is limited to family planning and related services and in accordance with provisions described at 42 CFR 435.214.
Summary: Establishes a new class of disproportionate payments for 2015 acute care hospitals ranked at least three standard deviations above the mean with respect to Medicaid inpatient days and abve the 99th percentile of all acute care hospitals with respect to discharges.
Summary: Increases 2015 funding for disproportionate share hospital payments to certain cute care hospitals that further PA's goal of enhanced access in economically distressed areas.
Summary: Establishes a new class of disproportionate payments for 2015 acute care hospitals with 400 or more setup and staffed beds in a county with a population less than 50,000.
Summary: Describes Methodology Used by the State for Determining Appropriate FMAP Rates, Including the Increased FMAP Rates, Available Under the Provisions of the Affordable Care Act Applicable for the Medical Assistance Expenditures Under the Medicaid Program Associated with Enrollees in the New Adult Group Adopted by the State.
Summary: Decreases 2015 funding for outpatient services access payments and creates a new DSH payment to facilities with similar characteristics to the outpatient access payment facilities.
