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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 proposes to revise the state plan to cover the dispensing of over the counter drugs in a nursing facility through the use of an automated dispensing system.
Summary: Revises the criteria for participation in the critical access dental program, and increases payment rates for dental providers located outside of the Twin Cities metro area.
Summary: Implementation of behavioral health home services to adults with serious mental illnesses and children and youth experiencing emotional disturbances.
Summary: This SPA amends supplemental payment related to medical education costs for various provider types, including enrolled hospital, medical center, clinic, practioner,or other organization that provides accredited clinical training of; physicians (medical students and residents), doctor of pharmacy practitioners, doctors of chiropractic, dentists, advance practice nurses and physician assistants, and effective July 1, 2015 dental therapists, advanced dental therapists, psychologists, clinical social workers, community paramedics, and community health workers.
Summary: Revises methodologies and standards for determining payment rates by increasing payments for family planning and dental services and intermediate care facilities for persons with developmental disabilities using a prospective rate setting methodology.