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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 amendment updates the fees schedule for the state' s new fiscal year. It also adds coverage and payment methodologies for Peer Support Services and Intensive Outpatient Treatment for substance use under the rehabilitation benefit.
Summary: This provides assurance that the state complies with statutory requirements in section 1906, Health Insurance Premium Payment (HIPP) program, and section 1906A, HIPP for Kids premium assistance program.
Summary: Clarifies that Foster Children, and Women Receiving Treatment Through the Breast and Cervical Cancer Program, are Exempt from Certain Cost Sharing Requirements in the State Plan.
