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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 make optional, the Early Intensive Developmental and Behavioral Intervention Qualified Supervising Professional’s involvement in the coordinating care conference discussion.
Summary: With this amendment, the state is updating the professional qualified to submit a statement of need for services. CMS supports approval of this amendment as it will not have a negative beneficiary impact, is consistent with Medicaid statutory requirements, regulations, and policies and permits the state to make systemic changes to allow them to administer the program as they desire.
Summary: This amendment modifies the methodology for determining payment rates for targeted case management services. The amendment also provides assurances regarding case management services for institutionalized individuals, and includes one technical correction regarding the comparability of services.
Summary: This amendment Implements Uniform Service Standards for behavioral health services including simplification to the diagnostic assessment process.
Summary: This amendment addresses third party liability and related Medicaid payments regarding medical support, prenatal care and pediatric services, described in attachment 4.22-B of Minnesota’s Medicaid State Plan.
Summary: This SPA provides Minnesota with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
