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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 amendment adds coverage and reimbursement of pharmacists as providers, and to authorize pharmacy technicians and interns to administer vaccines.
Summary: This amendment proposes to allow pharmacists to screen individual patients for hormonal contraception and administer through a standing order.
Summary: This amendment proposes to consolidate Registered Nurse (RN) and Licensed Practical Nurse (LPN) services into one consolidated nursing service and revises policy for reimbursement to family members under the Early and Periodic Screening Diagnosis and Treatment (EPSDT) benefit.
Summary: This amendment expands Peer Support Services, which allows providers outside of the Community Mental Health Center (CMHC) network to employ Peer Support providers and to be reimbursed for providing Peer Support Services.
Summary: This amendment (1) allows Indiana Medicaid to reimburse for medically necessary nursing services in school-based services pursuant to a Medicaid enrolled student's educational program or plan as required by the Individuals with Disabilities Education Act (IDEA) or Section 504 of the federal Rehabilitation Act of 1973. 29 U.S.C. 794 and (2) includes coverage for school psychologist testing services if done by a licensed individual and school-based transportation for children under IDEA.
Summary: This amendment is to revise the provisions governing the Preventive Services program in order to expand coverage for tobacco cessation counseling services to all Medicaid beneficiaries.
Summary: This amendment provides authority to cover and to reimburse for Psychiatric Residential Treatment Facility (PRTF) services for eligible Michigan Medicaid beneficiaries.
Summary: This purpose of this SPA is to updates the fee schedule dates and to make permanent telehealth flexibilities for certain rehabilitative services.
Summary: This amendment adds Dental Health Aide Therapists per Court Order on January 12, 2023, and will align original SPA 17-0027 submitted on August 22, 2017, into the current Washington State Medicaid plan to cover and reimburse Dental Health Aide Therapists in accordance with state Senate Bill 5079 (codified into law at RCW 70.350.020).
