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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 SPA proposes to bring Oklahoma into compliance with the reimbu\u00A1sement requirements in the Covered Outpatient Drug final rule with comment.
Summary: Updates the language on current State Plan pages, and will document Oklahoma's participation in the Public Assistance Reporting Information System (PARIS) interstate match to comply with federal regulations.
Summary: Removes outdated information such as ICD procedure codes and specific software utilized to compute the relative weights, and provides clarification on hospital bed size and the compilation of anaged care encounter data in relation to the relative weights payment computation.
Summary: Implements a ten percent rate reduction for Behavioral Health Professional Licensure Candidates in an outpatient behavioral health clinic setting.
Summary: To reinstate reimbursement for Private Duty Nursing, including those which are delivered through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit, to the rate paid prior to the three percent reduction which was implemented on January 1, 2016.
