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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: Changes the methods and standards for establishing payment rates for Outpatient Hospital Services, reflecting the rate increases effective July 1, 2017.
Summary: This Amendment would supplement payments for physician and professional services at qualifying Colorado state-owned or operated professional services practices, effective July 1, 2016.
Summary: This Amendment would allow the Accountable Care Collaborative authority to contract with primary care case managers and pay for performance payments.
Summary: This amendment proposes coverage and reimbursement of emergency and certain other medical services furnished by off-island and out-of-country providers, effective April 1, 2017.
Summary: This State Plan Amendment revises the Medicare-Medicaid Program by updating the federal authority to allow the State to contract with PCCM (entity based).
Summary: This Amendment amends the income methodology provisions under the Medicaid Buy-In for Working Adults with Disabilities program to disregard the income of the applicant's spouse for the purposes of determining eligibility.