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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescinds temporary disaster relief provisions of the state plan to allow the agency to make American Rescue Plan Act Section 9817 increases for home and community-based services by Provider Types 29, 30, 39 and 83.
Summary: The 1915(i) Behavioral Health state plan amendment (SPA), which runs concurrently with an 1115 Behavioral Health demonstration for managed care, will be extended for one year. The 1915(i) serves individuals with serious emotional disturbances and intellectual and developmental disabilities.
Summary: California Disaster Relief (DR) SPA 22-0038 will temporarily implement the addition of Self-Directed Support Services and Technology Services and temporarily implement increases to incentive payments for Prevocational and Supported Employment Services. This SPA is effective July 1, 2021 through the end of the COVID-19 Public Health Emergency (PHE).
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a 10% rate increase for providers of Title XIX Home and Community Based Services as follows: (HCB) Personal Care Services, 1915(k) Community First Choice Services (CFC), and Long-Term Services and Supports Targeted Case Management Services(LTSS-TCM). The department intends this increase to facilitate increased wages and promote the hiring and retention of HCBS direct service workers, an area adversely impacted by the COVID-19 pandemic.
Summary: This amendment is to add three new providers - Doulas, Community Health Workers (CHWs) and Registered Pharmacists - to Nevada’s Alternative Benefits Plan (ABP) pages.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to establish a direct wage floor and workforce retention bonus payments to long-term personal care providers, in accordance with the State's approved Home and Community Based Services spending plan authorized under Section 9817 of the American Rescue Plan Act.
Summary: This amendment is to update the Alternative Benefit Plan to implement coverage for substance use disorder services under the rehabilitative services benefit category for services provided in outpatient and residential settings, as required by sections 1905(a)(13)(c) of the Social Security Act.
