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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: update the state’s rehabilitative services State Plan pages to align with changes made to the state’s behavioral health coverage by the Mississippi Department of Mental Health. Additionally, this amendment proposes to contain rate increases for mental health assessments and establishes payment methodologies for acute partial
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to extend COVID-19 Emergency Sick Leave Benefits for In-Home Supportive Services (IHSS) providers.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to cover and set reimbursement rates for the administration of EUA monoclonal antibody COVID-19 treatment by authorized EMS providers to state defined eligible beneficiaries.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to align the Expansion Adult ABP with previously approved Disaster Relief SPAs.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to expand the provider types for the administration of the SARS-CoV-2 vaccines and amend the payment methodology for the administration of the SARS-CoV-2 vaccines to Medicaid beneficiaries who are homebound.
Summary: Effective October 1, 2020 until September 30, 2025, pursuant to 1905(a)(29) of the Social Security Act and Section 1006(b) of the SUPPORT Act., this amendment adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.
Summary: Effective January 1, 2021, this amendment adds a $1,000 per calendar year dental benefit for adults receiving Medicaid benefits through an Alternative Benefit Plan.
Summary: Effective October 30, 2020, this amendment for New York's Alternative Benefit Plan (ABP) alignment removes the annual visit limit cap for physical therapy, occupational therapy, and speech therapy.
Summary: Effective October 1, 2021, this amendment expands coverage for school-based services and also makes clarifications to the personal care services and the specialized transportation benefits.
