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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 plan amendment updates the agency's fee schedule effective date in order to facilitate a reimbursement rate increase for select Applied Behavior Analysis Services
Summary: This SPA plans to implement changes to the inpatient psychiatric per diem rate for hospitals licensed under chapter as free-standing psychiatric hospitals providing long-term civil commitment services
Summary: This plan amendment allows an increase to certain Medicaid provider rates by 2.5% for specific services in accordance with the 2021 Long Bill (SB21-205) for the State of Colorado
Summary: We have reviewed the proposed Colorado State Plan Amendment (SPA) to Attachment 4.19-B of your state plan, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on July 01, 2021. This plan amendment provides a 2.5% rate increase for outpatient hospital services.
Summary: Proposes to move currently approved in-home peritoneal dialyses services from the clinic benefit to the home health and other licensed provider benefit without a change in reimbursement
Summary: This amendment updates the methodology for establishing PRTF payment rates, establishes a supplemental payment for Lake Taylor, revises GME residency payments and the IME formula freestanding children's hospitals, and makes multiple revisions for nursing facility reimbursement.
Summary: This plan amendment implements community mental health center and substance use disorder agency inflationary rate increases appropriated by the state legislature during the 2021 legislative session