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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 SPA reflects that Vermont will use MAGI-based income methodologies for purposes of determining medically needy eligibility for parents/caretaker relatives, pregnant women, and children. All resources will be disregarded for purposes of determining eligibility for these medically needy groups subject to MAGI-based income methodologies.
Summary: This SPA proposes to add procedure code 90688 (influzenza virus vaccine, quadrivalent, split virus, when administered to individuals 19 years of age and older, for intermuscular use).
Summary: This SPA increases reimbursement rates for office visits and vaccine administration and removes the 42 CFR 405 payment increase that expired on December 31, 2014.
Summary: This SPA allows the Alabama Medicaid Agency to continue allowing eligible primary care physicians that practice in family medicine, general internal medicine or pediatric medicine to receive enhanced payments for certain specified procedure codes for elvaluation and management services and certain Vaccines for Children vaccine administration codes.
Summary: The purpose of this SPA is allow State operated and controlled Veteran's Affairs (VA) nursing facilities to include prescription drugs cost in their cost report as routine costs.
