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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 SPA propose to include competitive bidding in the reimbursement method for incontinence supplies covered under the durable medical equipment (DME) benefit.
Summary: Which propose to disregard recipient resources in an amount equal to the insurance benefit payments made to or on behalf of an individual who is a beneficiary under a long-term care insurance policy, in accordance with the provisions of Section 6021 of the Deficit Reduction Act of 2005.
Summary: This SPA proposes to provide supplemental payments to the non-state government and private hospital's up to the Medicare upper payment limit, eliminate the CPE funding method for Medicaid services provided by non-state government hospitals and implement a provider assessment.
Summary: This amendment will provide supplemental payments to the University of North Carolina Health Care System hospitals up the Medicare upper payment limit.
Summary: This SPA clarifies Nurse Practitioner Services to comply with 42 CFR 440.166 and adds language which documents the reimbursement methodology used to pay for services rendered by nurse practitioners.
