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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 allow the state to reimburse administration fees for COVID-19 vaccinations at the same rate as Medicare.
Summary: Effective January 1, 2017, this amendment revises reimbursement for inpatient hospital services. Specifically, it provides additional payments to specialty, critical access and physical medical rehabilitation hospitals to account for increases in the minimum wage (MW).
Summary: Effective March 1, 2020, this amendment establishes coverage of COVID-19 vaccine administration and a reimbursement rate for COVID-19 vaccine administration for providers reimbursed on a fee-for-service basis.
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 add additional payment methodologies for home health and private duty nursing services.
Summary: Effective August 19, 2020 this amendment adds coverage and reimbursement for three evidence-based parenting programs for children with disruptive behavior disorders.
Summary: Effective July 1, 2020, this amendment adjusts reimbursement for Intermediate care facilities for individuals with developmental disabilities (ICF-IID).
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 identify an updated NEMT rate for drive-through vaccination sites, effective February 22, 2021.
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 establish a February 2021 COVID-19 interim payment for primary care medical providers (PCMP) who provide integrated services. PCMPs who received an October 2020 COVID-19 interim payment (approved in TN 20-0035) are not eligible to receive the February 2021 COVID-19 interim payment.
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 establish how the state will pay for the administration of the vaccine and the reimbursement methodology.
