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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: Effective January 01, 2021, this amendment allows for an increase to the pediatric personal care reimbursement rate for Denver-area providers.
Summary: Effective October 1, 2020, this amendment creates the Minimum Wage Supplemental Payment for qualifying nursing facility providers, for services on or after the effective date.
Summary: Effective April 1, 2020, this amendment provides an annual update to the State's supplemental teaching physician payment program using the Average Commercial Rate.
Summary: Effective January 1, 2021, this amendment increases dental rates for services provided by dental practice plans operated by publicly funded academic medical centers.
Summary: Effective January 01, 2021, this amendment updates the optional state supplement program's annual income standards consistent with the federal register.
Summary: Effective January 1, 2021, this amendment provides a 2.5 percent inflationary increase for Psychiatric Residential Treatment Facility (PRTF) services, for services on or after the effective date.
