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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 provide coverage for lab or x-ray services intended to diagnose or detect antibodies for COVID-19; increase certain payment rates; and extend resident absences from nursing facilities.
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 change the end date of some of the provisions approved in Arkansas' previously approved disaster relief state plan amendment (SPA 20-0015). It changes the end date of the Well Check services and the Day Habilitation Enhanced Payments to the end date of the national public health emergency. The other provisions of the previously approved disaster relief SPA are unchanged.
Summary: Adds a cost-based reimbursement methodology for a publicly operated Chronic and Convalescent Nursing Home (CCNH) operated by the State of Connecticut Department of Veterans Affairs (DVA). Payments will be funded through certified public expenditure (CPE) from DVA.
Summary: Effective July 1, 2020, this amendment updates language regarding County Health Department Reimbursement for services outlined within the State Plan.
Summary: Authorizes 100% FFP for services provided by non-IHS/Tribal providers to Medicaid-eligible individuals who are Tribal Medicaid beneficiaries when the provider has a written care coordination agreement with an IHS/Tribal facility.
Summary: Revising the Community First Choice (K-Plan) option which increases the local case management benefit limit on assistive technology, implements an enhanced Foster Care model which would allow for some children with intellectual and developmental disabilities to be diverted from children's residential placement to less costly and restrictive placements, adds Support Technology where advanced supervision is necessary.
Summary: Clarifying the maximum amount paid for Medicare Part B coinsurance and deductibles for services provided by the Indian Health Services and tribal providers operating under 638 agreements.
Summary: Expands Health Homes into 8 additional counties with 7 providers. Will pilot a high fidelity wraparound model with 2 providers for children/adolescents. One provider will be first Tribal Health Home.
Summary: This amendment implements policy that health care facilities operated by Indian Health Service/Tribally-Operated 638 Health Programs/Urban Indian Health Programs (ITU) providers are designated as Federally Qualified Health Centers (FQHC).
