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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 increase COVID-19 vaccine booster reimbursement.
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 add temporary rate increases for various providers in accordance with Massachusetts' approved Initial Spending Plan for home and community-based services under the American Rescue Plan Act of 2021.
Summary: Updates the 12-month cap period, beginning on October 1 of each year and ending on September 30 of the following year for hospice care reimbursement.
Summary: This plan amendment proposes a one percent cost of living adjustment for noninstitutional services, day treatment, clinic services, and independent practitioner services for individuals with developmental disabilities (IPSIDD).
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 daily per diem rate paid to privately owned or operated nursing facilities and include a direct care add-on to reimburse ICF-IID for increased cost related to retaining and hiring direct care staff.
Summary: Updates to the Skilled Nursing Facility Quality and Accountability Supplement Payment (QASP) for the rate period from January 1, 2022 to December 31, 2022.