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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 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.
Summary: This amendment is to comply with coverage of routine patient costs for services and items provided to Medicaid beneficiaries in connection with participation in qualifying clinic trials, in accordance with the federal 2021 Consolidated Appropriations Act (CAA).
Summary: Effective January 1, 2022 this amendment proposes to add mandatory coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.
Summary: This amendment assures that Kansas will cover the mandatory benefit for costs of routine services related to participation in clinical trials in the state plan.
Summary: This amendment is to conform the state plan to Section 210 of the Consolidated Appropriations Act, 2021 (Public Law 116-260) related to mandatory Medicaid coverage of routine patients costs furnished in connection with participation in qualifying clinical trials.
Summary: To update Maryland State Plan language to reflect current audiology prosthetic device coverage as outlined in the Code of Maryland Regulations (COMAR).
