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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: SPA establishes Alternative Benefit Plan(ABP) MI uses to implement requirements of the Healthy Michigan Plan(HMP) as stated in MI's PA 107 of 2013.
Summary: revises the coverage location of Applied Behavior Analysis (ABA) services in the state plan, clarifies that ABA services are provided for individuals under the age of 21 pursuant to EPSDT, clarifies the qualified practitioners that can furnish ABA services in Montana, and makes conforming changes to the corresponding reimbursement pages.
Summary: Removal of Outdated Substance Use Disorder, Behavioral Health, and Intellectual Disability (formerly, “Mental Retardation”) Case Management Utilization Review Language.
Summary: 1) Clarify the different types of encounters and when more than one encounter is performed on the same day, 2) Add the requirements for RHC mobile units, and 3) add language to refer to Attachment 3.1-A Introductory Pages for coverage of telehealth services to be incompliance with Miss. Code Ann. as amended by Senate Bill 2799, effective July 1, 2021.
Summary: This amendment proposes to removes certain providers from the excluded provider type/services list and changes the term “telemedicine” to “telehealth services.”
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to enable federally qualified health centers (FQHC) and rural health clinics (RHC) to be reimbursed outside of the established, all-inclusive prospective payment system (PPS) rate for administration of the COVID-19 vaccine.
