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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 was submitted to clarify the definition of school-based services, add language that outlines the notification requirements to schools regarding parental and legal guardian consent, and remove specific references which are no longer applicable.
Summary: The purpose of this amendment is the redaction of wage enhancement add-on payments to cerlain nursing facilities serving adults and ICFs/IIDs to comply with the repeal of sections 5022 and 5022.1of Title 63 of the Oklahoma Statutes.
Summary: This amendment implements policy that health care facilities operated by Indian Health Service/Tribally-Operated 638 Health Programs/Urban Indian Health Programs (ITU) providers are designated as Federally Qualified Health Centers (FQHC).
Summary: This amendment was submitted to allow for hospice services concurrently with medical and curative services for children, and to correct age limitation language for individuals in receiving inpatient psychiatric care.
Summary: This amendment was submitted to revise coverage language in order to increase access and utilization of Long Acting Reversible Contraceptives (LARC).
Summary: This amendment was submitted to extend Genetic Counseling when testing has found that an individual displays clinical features of a suspected genetic condition, is at direct risk of inheriting the genetic condition in question, or has been diagnosed with a condition where identification of specific genetic changes will impact treatment or management.