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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 establishes coverage of Certified Community Behavioral Health Centers (CCBHCs) and reimbursement of CCBHC services in Kansas Alternative Benefit Plan.
Summary: This amendment establishes coverage of Certified Community Behavioral Health Centers (CCBHCs) and reimbursement of CCBHC services using a prospective payment system.
Summary: This SPA provides Kansas with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: adds a value-based purchasing (VBP) supplemental sub-pool that distributes $600,000 annually to eligible hospitals based on performance on one or more predetermined quality measures.
Summary: This plan amendment sets the rate for optometry, chiropractic, and podiatry services supplies at the lower of provider charges or 72.4% of the current Maine Medicare rate and by fee schedule for such se1vices not covered by Medicare.
Summary: Maine State Plan Amendment (SPA) ME-22-0018 for Opioid Health Home (OHH) to establish a tier of services within the OHH program specific to perinatal care teams. These services with the OHH program are referred to as the Maine MOM (Perinatal OUD Care).
Summary: This amendment establishes compliance with mandatory Medicaid coverage and reimbursement of routine patient costs furnished in connection with participation in qualifying clinical trials in the Alternative Benefit Plan.
