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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 a mandatory benefit at section 1905(a)(30) for routine patient costs for items and services furnished in connection with the participation by Medicaid beneficiaries in qualifying clinical trials, in accordance with Section 210 of the Consolidated Appropriations Act, 2021.
Summary: This amendment proposes to add language that details adherence with mandatory coverage of routine patient cost for services furnished in connection with qualifying clinical trials.
Summary: This amendment complies with Section 210 of the Consolidated Appropriations Act of 2021 by adding a new mandatory benefit of routine patient services and costs furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials.
Summary: This amendment is regarding clinical trials and is in compliance with SMD # 21-005, as it relates to the Consolidated Appropriations Act, 2021 (Public Law 116-260).
Summary: This State Plan Amendment provides required assurances that the state is appropriately covering and paying for routine patient costs of items and services for beneficiaries enrolled in qualifying clinical trials.
Summary: The state proposes to include an assurance that the state covers routine patient costs for items and services furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials.
Summary: This amendment was to comply with the Consolidated Appropriations Act for 2021, which amended the Medicaid statute to add as a mandatory benefit, in both state plan and benchmark and benchmark equivalent coverage, for “routine patient costs for items and services furnished in connection with a qualifying clinical trial.
