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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 transmittal describes the single state agency's delegation of appeals and determinations in accordance with the Affordable Care Act and updates the state's organizational structure.
Summary: The purpose of this SPA is to amend the State's approved Title XIX State Plan to update the state's Preadmission Screening and Annual Resident Review (PASRR) methodology to align it with the state's PASRR manual. This SPA is cost neutral.
Summary: Sets reimbursement for services provided in a freestanding mental health facility at 91 percent of the Medicare rate for dates of service the participant is a resident of the facility.
Summary: Updates the Non-Emergency Medical Transportation Services section of the state plan to be consistent with the State's approved 1915 (b) waiver for NEMT services.
Summary: Includes reimbursement for the originating site facilities, telemonitoring of a patient in their home and for interprofessional telephone and internet assessment and management services provided by a consultative physician.