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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to include additional coverage and payment for COVID-19 testing, add teledentistry to telehealth benefits, add publicly-owned hospitals to those eligible to receive supplemental payments, and to add qualifications for direct support professionals, mental health rehabilitation technicians and behavioral health professionals.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind the payment increases in Section 7.4, E.2.b.ii of the state plan.
Summary: Designates entities that furnish health care items and services covered under the state plan as qualified entities to make presumptive eligibility determinations for the family planning group
Summary: This amendment adds digital hearing aid codes under the Durable Medical Equipment Services section of the state plan and removes them from the Speech, Hearing, and Language Disorder Services section of the state plan.
