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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 (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase the cap for supplemental disproportionate hospital share (DHS) payments to qualifying hospital providers.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to reimburse for the administration of the COVID-19 vaccine at 100% of the Medicare national equivalent rates.
Summary: Effective January 1, 2021, this amendment changes the methodology and thresholds for determining cost-effectiveness for Medicaid Estate Recovery and clarifies the definition of "recoverable medical assistance."
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase reimbursement for COVID-19 vaccine administration from $14.15 to $40.00.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for a temporary premium payment to be paid to specified providers for in-person care, modify additional payments for specific COVID-19 nursing facilities, and increase payment for the administration of Emergency Use Authority for investigational drugs, devices, and biological agents to 100% of the Medicare rate.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for an add on hospital payment for Remdesivir. In addition, this SPA provides authority to address the National Emergency by allowing for a temporary premium payment to be paid to specified providers for in-person care, modifying additional payments for specific COVID-19 nursing facilities, and increasing payment for the administration of Emergency Use Authority for investigational drugs, devices, and biological agents to 100% of the Medicare rate.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to make multiple adjustments to benefits currently covered in the state plan 1) to ensure individuals with mental health conditions are able to receive medically necessary mental health rehab services (see below); 2) allow providers in all situations to use a wide variety of communication methods to deliver services remotely; 3) expand prior authorization for automatic renewal of medications; 4) and adjust reimbursement rates for telehealth, COVID vaccine administration and provide supplemental payment for ICF/IDDs.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow a temporary supplemental payment for long-term care facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) to support increased costs due to COVID-19.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to provide an add-on payment to nursing facilities throughout the duration of the public health emergency.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to provide a reimbursement methodology for Medicaid vaccine administration fees and pharmacy dispensing fees for the COVID-19 vaccine.
