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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind the election to add nursing facility health care isolation centers (HCICs) and the accompanying payment provisions that were temporarily implemented in response to the COVID-19 PHE.
Summary: This SPA provides authority to address the National Emergency by including mandatory coverage of COVID-19- related testing and treatment services in compliance with Sections 9811 and 9821 of the American Rescue Plan of 2021.
Summary: Coverage and reimbursement of COVID-19 vaccines and vaccine administration, coverage and reimbursement of COVID-19 testing, coverage and reimbursement of services for the treatment and prevention of COVID-19, including conditions that may seriously complicate the treatment of COVID-19.
Summary: WA-22-0019 is submitted to comply with the American Rescue Plan (ARP) requirements for states to ensure access and coverage to COVID-19 Vaccine, Treatment, and, Testing.
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 allow the state to issue a COVID-19 related direct payment program for select providers.
Summary: amends the provisions governing reimbursement to non-state intermediate care facilities for persons with intellectual disabilities in order to implement administrative penalties related to noncompliance with the direct care floor requirements.
Summary: This plan amendment updates the date of the fee schedule for state plan services on the Introduction Page. This will allow the department to update Medicaid fees, additions, deletions, or changes to procedure codes when Medicare releases and updates their fee schedule.
Summary: The purpose of this amendment is to comply with the American Rescue Plan (ARP) Act of 2021 that requires coverage of COVID-19 vaccines, testing, treatment, and treatment of a condition that could complicate the treatment of COVID-19 in Medicaid.
Summary: Updates the statutory reference authorizing a hospital opting out of the inpatient “Full Cost” Payment Program if the hospital meets the criteria for the inpatient rate enhancement.
