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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 SPA describes the methodology used by,the state for determining the appropriate FMAP.rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adapted by the State.
Summary: Addresses Methods and Standards for Establishing Prospective Payment Rates for Federally Qualified Health Centers (FQHCs) Reflecting the Federal Updates for Medicaid Rates and Rate Increases.
Summary: This amendment applies to methods and standards for establishing payment rates for Mental Health and Substance Abuse Rehabilitation Services for Children reflecting the rate increases.
Summary: This amendment changes the effective beginning date for the Aged Blind Disabled groups to have coverage for the full month if they are determined eligible at any time during the month.