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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: Allows the State to implement immediate auto-assignment of pregnant women whose Medicaid eligibility is limited to prenatal, delivery, and post-partum services to the Bayou Health Program.
Summary: his SPA transmitted a proposed amendment to Connecticut's approvd Title XIX State Plan Amendments 3.1A, 3.1B and 4.19B in order to revised the reimbursement methodology for other practitioner services.
Summary: Incorporates the residency requirements at 42 Code of Federal Regulations 435.403 into Virginia Medicaid State Plan in accordance with the Affordable Care Act.
Summary: OMH 2012/13 RTF Continuance of Rate (Freeze) & Revisions to OMH 2011/12 Residential Treatment Facilities (RTF) Drug Carve Out 1 Includes $31,250 for 9/1/12-9/30/12 and 2 $375,000 for 10/11/12-9/30/13 attributable to drug carve out. FMAP=50%).
Summary: This SPA transmitted a proposed amendment to Connecticut's approved Title XIX State Plan Attachments 2.2A, 2.6A, 3.1A, and 4.19B in order to establish a Family Planning Services coverage group purseant to Section 2303 of the Patient Protection and Affordable Care Act., P.L. 111-148.
Summary: The plan amendment adds Congestive Heart Failure (CHF) episodes and Total Joint Replacement episodes to the state plan. The amendment change does not have a direct impact on Indians, Indian Health programs or Urban Health Organizations.
Summary: The amendment continues provisions for disproportionate share hospital payments to certain acute care hospitals that further Pennsylvania's goal of enhanced access in economically distressed areas.
