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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: Increases rates for Out Patient Behavioral Health Agency Services, Residential Level of Care Substance Abuse Disorder Services and Independently Contracted Psychologists.
Summary: This Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) plan amendment implements an updated Medicaid Youth Mental Health Fee Schedule, reflecting updated reimbursement rates.
Summary: This State Plan Amendment supersedes TN: 21-0018 on the 4.19-B page 7a. which implements an inflationary increase for Targeted Case Management Services of 1/4th% (.25%).
Summary: This State Plan Amendment supersedes TN: 21-0011 pages 1, 1a, 1b, 2, and 3b, which implements an inflationary increase of 1/4th% (.25%) for services rendered by Medicaid Providers.
Summary: This State Plan Amendment supersedes TN: 21-0018 on the 4.19-B page 7. which implements an inflationary increase of 1/4th (.25%) for EPSDT services effective July 1, 2022.
Summary: This State Plan Amendment supersedes TN: 21-0007 page 4a. which makes an increase to the Rural Health Clinic's (RHC) Alternative Payment Method (APM) rate by 1/4% (.25%)
Summary: This plan amendment increases the rate and conversion factor to reflect the 2021 legislative appropriation of 1.9% increase and add the service to the state’s reimbursement Introduction Page, as it pertains to Targeted Case Management for Individuals with Developmental Disabilities Enrolled in the 0208 1915(c) Comprehensive Waiver or Eligible Individuals Age 16 and Over.
