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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: These changes are being made to comply with 2011 Idaho Legislative direction in House Bill260. This change is a reduction in adult psychosocial rehabilitation (PSR) service homes.
Summary: This amendment proposes to change pharmacy reimbursement to the Average Actual Acquisition Cost (AAAC) by obtaining cost information through a pharmacy survey process. This SPA also proposes to change the dispensing fee by using a tiered dispensing fee structure.
Summary: This transmittal updates the optional state supplement standards for special income level groups consistent with the published 2012 federal poverty levels.
Summary: This proposed SPA transmitted an amendment to Maine's approved Title XIX State plan to increase the optional State supplementary payment levels. You took this action to reflect an increase in the Supplemental Security Income program Federal benefit rate.
Summary: This SPA amends the State's approved Title XIX State Plan to assure compliance with federal requirements for the Medicaid Recovery Audit Contractor (RAC) Program. We have approved the State's request for an exception to establish the RAC program until no later than June 1, 2012.
Summary: This amendment requests an exception to the January 1, 2012, implementation date in regulation and requests a date of July 1, 2012, in order to allow time for the State to enter into a multi-state contract for selection of a Medicaid recovery audit contractor.
Summary: This SPA substitutes the Payment Error Rate Management (PERM) review process for the Medicaid Eligibility Quality Control (MEQC) review process in State Fiscal Years 2012,2015, and 2018.
Summary: This SPA transmitted a proposed amendment to Maine's approved Title XIX State plan to amend its State Plan so that the State can be in compliance with the mandatory provision in Section 2302 of the Patient Protection and Affordable Care Act (PPACA), entitled Hospice Care for Children. Section 2302 requires that children are able to receive hospice and curative care concurrently.
