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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: Establishes a supplemental payment to acute care general hospitals in Pennsylvania that provide a substantial portion of their inpatient services to Medicaid patients.
Summary: Continues provisions for certain inpatient supplemental payments and establishes the aggregate limit for DSH and the supplemental payments for 2013-2014.
Summary: This amendment continues a reimbursement system for acute care general hospitals using al.l patient refined-diagnosis related groups by removing expiring language.
Summary: Modifies methods and standards for setting public nursing facility payment rates. Specifically, continues the use of a budget adjustment factor and establishes the factor for settingrates for the 2013/2014 rate year.
