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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: Removing benzodiazepines, barbiturates, and agents used to promote smoking cessation from the state's excluded drug list in accordance with section 1927(d)(7) of the Social Security Act and section 2502 of the Affordable Care Act.
Summary: This SPA removes barbiturates, benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 502(a) of the Affordable care Act.
Summary: To establish coverage for home health medication administration services provided by home health agencies using electronic medication administration devices when clinically appropriate for beneficiary.
Summary: This SPA removes the drug categories of barbiturates, benzodiazepines and smoking cessation drugs from the list of drugs that may beexcluded or otherwise restricted from coverage from the state plan.
Summary: This SPA provides for substantive changes to the existing TOPS The Optimal PDL Sol7ution TOPS State Supplemental Rebate Agreement SRA, which includes revised definitions, and structural changes to the SRA.
Summary: Changes to the physician and medical clinic fee schedules adding two procedure codes for influenza vaccines recently approved by the US Food and Drug Administration. Changing an existing influenza vaccine procedure code from manual period to a fixed fee.
