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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 updates the reimbursement methodology for supplemental Medicaid inpatient hospital payments and Disproportionate Share Hospital payments.
Summary: This Amendment clarifys the list of qualified practitioners who may perform targeted case management for behavioral health and substance abuse treatment, to align with practitioner standards implemented by the Colorado Department of Human Services, Office of Behavioral Health, and to promote more timely access to these services.
Summary: This amendment creates a supplemental payment for privately-owned nursing facilities that serve physically, behaviorally, and/or socially complex patients.
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.
