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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: Effective for dates of service on or after January 1, 2023, this amendment provides for an inflationary increase of 3.75 percent for nursing facility (NF) services and implements a new payment methodology for prope1iy costs.
Summary: This State Plan Amendment provides an increase to the ground ambulance transport services fee-schedule rates. These services include advanced life support levels one and two, advanced life support level one emergency, basic life support, basic life support emergency, and specialty care transport.
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 increase the pharmacist dispensing fee from $10.48 to $10.77 per prescription.
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 to make a one-time, lump-sum payment to all Mississippi hospitals eligible for supplemental payments under federal and state laws and regulations upon CMS approval and not later than the end of the federal Public Health Emergency.
Summary: This Medicaid State Plan Amendment (SPA) provides for the transformation of MO HealthNet nursing facility reimbursement rates by establishing a new reimbursement methodology.
Summary: State Plan Amendment (SPA) 23-0004 was submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to adjust rates for Therapeutic Communities.
Summary: This amendment clarifies supplemental payments referenced in Utah’s American Rescue Plan Act (ARPA) Home and Community Based Services (HCBS) Enhanced Funding Spending plan.