An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 authorize all providers licensed to administer vaccines to administer pediatric immunizations if the vaccine product used was provided free of cost by the federal government. It also confirms coverage of the administration of COVID-19 vaccines and tests in accordance with the PREP Act.
Summary: Effective 1/5/21, this SPA rescinds the temporary implementation of the telehealth originating site fee and associated billing code that was approved in OH-20-0012 to help providers set up the necessary infrastructure to implement and expand telehealth services in response to the COVID-19 Public Health Emergency (PHE). The Ohio Department of Medicaid has determined that sufficient time has passed to allow providers to implement needed changes and reallocate funding in order to render additional telehealth services.
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 coverage and reimbursement rates for the COVID-19 vaccine administration benefit in the Medicaid State Plan. The amendment also permits pharmacists, and pharmacy interns and pharmacy technicians to administer the COVID-19 vaccines under the supervision of a pharmacist.
Summary: Effective January 7, 2021, this amendment increases the daily encounter limit from one encounter per day to five encounters per day. This change applies to Indian Health Service and Tribal 638 clinics.
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 add pharmacy interns and techs to the providers who can administer vaccines. It also notes that the State will follow current vaccine administration reimbursement methodology for interns and techs, paying $14.15 per vaccine administration.
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 add nurse practitioners, clinical nurse specialists, and physician assistants to order home health as per the CARES Act.
Summary: Effective 1/1/21 this SPA rescinds the temporary expansion of Prior Authorization (PA) for medications that allowed automatic renewal of PA without clinical review or time/quality extensions, which was approved in Disaster Relief SPA OH-20-0012 in response to the COVID-19 Public Health Emergency (PHE).
Summary: update the Program of All-Inclusive Care for the Elderly (PACE) Medicaid capitation rate methodology. This SPA transitions from using Fee-for-Service
(FFS) data to using Managed Care for development of the amount that would otherwise have been paid (AWOP) calculation.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this COVID - 19 Medicaid Disaster Relief Round 7 State plan amendment is to allow pharmacists to administer vaccines for COVID-19.
