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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 Amendment which amended titles XIX and XXI of the Social Security Act (the Act) to require that states provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid effective January 1, 2024.
Summary: This plan amendment updates the Medicaid payment rates for inpatient hospital services to include a payment adjustment for hospitals providing graduate medical education.
Summary: This amendment expands the Officer-involved Community Care Coordination benefit to include additional providers, specifically those employed by Indian health service facility or facility owned and operated by a Tribe or a Tribal organization operating under Public Law 93-638 as a 638 facility.
Summary: On March 01, 2024, The Centers for Medicare and Medicaid Services (CMS) received Minnesota State Plan Amendment (SPA) MN-24-0008 for Behavioral Health Homes to reflect a 3 percent change to Behavioral Health Services identified in the Medicaid State Plan amendment 24-0005. This change was authorized by Laws of Minnesota 2023, chapter 70, article 1, section 35.
Summary: Effective for services on or after July 1, 2024, this amendment updates per diem rates for Psychiatric Residential Treatment Facility services to adjust annually for inflation using the Centers for Medicare and Medicaid Services Inpatient Psychiatric Facility Market Basket.
