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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 amends the rate setting methodology for reimbursement to nursing facilities. Specifically, it modifies the methodology for calculating inflation factors for state fiscal year 2010 only in the following cost categories: Nursing Care, Director of Nursing, Resident Care, and Indirect.
Summary: The proposed amendment will eliminate direct service spending requirements for the Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) program effective for costs accrued on or after September 5, 2009. The amendment also modifies the descriptions of the cost components included in the ICF/MR rates and updates the reimbursement methodology to eliminate references to an outdated model.
Summary: This amendment provides for a per diem increase to nursing facility and HIV nursing facility reimbursement rates by granting a trend adjustment resulting in an increase of five dollars and fifty cents ($5.50) effective for dates of service beginning July 1, 2009.
Summary: The purpose of this amendment is to reduce the reimbursement for non-state, non-rural outpatient hospital services by 3.5% due to budgetary shortfall.
Summary: Suspends the Public Hospital Payment for Public Hospitals that are State owned and non-State owned government hospitals that provide inpatient hospital services to Medicaid and low-income populations.
Summary: Suspends the Supplemental Medicaid Rural Hospital Payment to rural hospitals located outside a federal designated Metropolitan Statistical Area with 60 or fewer beds that provide inpaitent hospital services to Medicaid and low-income populations.
