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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: Revises Methodologies and standards for determining payment rates for nursing facilities for provided services based on the RUG class in effect.
Summary: Provides additional payment rates for chemical dependency services provided in a residential setting to certain high-need recipients, including those who are civilly committed.
Summary: Revises the section of the state plan related to Minnesota's Integrated Health Partnership (IHP) Program. This amendment clarifies the attribution process, updates the gain and loss sharing requirements after the initial three-year contract period, and makes other technical revisions.
Summary: Clarifies the maximum amount to be paid for Medicare Part B coinsurance and deductibles for services provided by rural health clinics and federally qualified health centers.
Summary: Revises Medical Assistance coverage of acupuncture services to expand coverage beyond the treatment of chronic pain to include all conditions for which the state determines acupuncture is medically necessary.
