An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: To establish coverage and payment for lactation consulting services, nurse home visiting services, and revise payment rates for group prenatal education as part of Ohio’s Maternal and Infant Support Program.
Summary: The SPA updates and clarifies provisions including provider qualifications for psychiatric diagnostic evaluation, mental health assessment, psychological testing, psychotherapy, pharmacologic management, nurse medication management, therapeutic behavioral services, psychosocial rehabilitative services, and peer support services.
Summary: This SPA assures coverage as described in the American Rescue Plan Act (ARPA),and serves to secure the retroactive ARPA effective date of March 11, 2021 where applicable, and the April 1, 2021 effective date for 100% Federal Medical Assistance Percentage (FMAP) for vaccines where applicable.
Summary: This amendment adds optometry services to the state plan, revises coverage of eyeglasses/contact lens, and adds a fee-for-service payment methodology for these benefits.
Summary: RI is seeking federal authority to add coverage of Doula services to support pregnant individuals, improve birth outcomes, and support new mothers and families with culturally specific antepartum, intrapartum, and postpartum services.
