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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 plan amendment simplifies payment methodology for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) dispensed by a pharmacy.
Summary: This plan amendment authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A, and 4 payments, for the DSH state plan rate year ending 2024.
Summary: This plan amendment makes technical updates to Diagnosis Related Group (DRG) reimbursement rates for hospital inpatient services as authorized in the General Appropriations Act for State Fiscal Year 2023-2024 and editorial changes. The amendment also amends language to the inpatient hospital reimbursement methodology for Indirect Graduate Medical Education (IME) Payments to utilize the most recent Medicare Cost report to determine certain eligibility criteria for the program, expands eligibility for AMC 1 statutory teaching hospitals, and limits payment amounts for certain classes to the amounts determined for program year 4 (PY4 2023-2024) of the IME program.
Summary: This plan amendment updates the quality incentive program for non-specialty nursing homes will continue to recognize improvement in performance and provide for other minor modifications.
Summary: This plan amendment authorizes the quarterly nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending March 31, 2024.
Summary: This plan amendment updates the rate methodology for acute psychiatric inpatient hospital services furnished by Short Doyle/Medi-Cal hospitals and Fee-For-Service/Medi- Cal hospitals, effective December 12, 2023.
Summary: This plan amendment updates the payment methodology for personal care services provided by Private Non-Medical Institutions (PNMIs) on remote islands.
Summary: This plan amendment updates the rate setting methodology for freestanding skilled nursing facilities Level -B and freestanding adult subacute facilities and provides an aggregate five percent increase in the statewide weighted average labor rate component and an aggregate two percent increase in the statewide weighted average non-labor rate component for the calendar year 2023 rate year.
