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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: Modifies the formula used to compute nursing facility costs, raising minimum occupancy requirements for selected nursing facilities and updating the cost-rebasing period for the nursing facility per diem rate calculation.
Summary: Establishing admission status codes known as 'present on admission' indicators, and by implementing thirteen percent increases for psychiatric per diem rates and bariatric case rates.
Summary: Budget Adjustment Factor for County Nursing Facilities. for Rate Year 2009-2010 and extension of the BAF for rate years 2009-2010 and 2010-2011.
Summary: This amendment updates the inpatient hospital reimbursement methodology pertaining to the elimination of in-state hospital cost settlements. In addition, this amendment reduces the percentage of reimbursement available for out-of-state hospitals.
Summary: Updates the amounts of Arizona s graduate medical education and indirect medical education payment pools and designates the qualifying teaching hospitals for each payment pool for the fiscal period.
Summary: This amendment modifies the State's reimbursement methodology forsetting payment rates for inpatient hospital services. Specifically, the State proposes to implement a provider fee and revise the payment rates to recognize the fee as an allowable component of the rate.
