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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: Effective 11/01/2019 this amendment clarifies that substance use disorder (SUD) early intervention services provided by a SUD agency are covered and SUD treatment services may be provided in an institution for mental disease (IMD).
Summary: Effective October 1, 2020, this amendment creates a public Emergency Service Transporter Supplemental Payment Program (ESPP) for public emergency service transportation providers.
Summary: Effective October 1, 2020, this amendment provides technical corrections to Page 12c of Attachment 3.1-A, which adds in necessary information that was previously omitted.
Summary: Authorizes the department to establish provider specific rates for services provided by Psychiatric Residential Treatment Facilities (PRTFs). The amendment also removes outdated language
Summary: Proposes to add coverage allowing Doula Services to provide support for pregnant individuals throughout the perinatal period to the Title XIX and State Plan
Summary: Implements a resource disregard of earnings accumulated in a separate account during an individual's enrollment in a working disability eligibility group when determining the individual's subsequent eligibility for other eligibility groups covered under Washington’s state plan
Summary: Effective for services on or after October 1, 2020, Minnesota 20-0017 will authorize the Department to provide ongoing interim payments to hospitals eligible to receive the inpatient hospital supplemental payment.
