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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: Revises Supplemental Payments for Physician and Professional Services at Qualifying Colorado State-owned or Operated Professional Services Practices.
Summary: This removes language that pertains to pharmaceutical coverage for hair-growth, erectile dysfunction and sexual dysfunction medications, pursuant to the 21st Century Cures Act and the Abstinence Programs Extension and Hurricane Katrina Unemployment Relief Act of 2005.
Summary: This revises the Methods and standards for establishing payment rates for hospice services, reflecting rate increases effective October 1, 2018.
Summary: This authorizes the coverage and payment of Medically Necessary Durable Medical Equipment, Prosthetics, Orthotics and Supplies as part of the American Samoan Medicaid State Plan.