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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: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to authorize licensed nurses employed by home health agencies to administer COVID-19 vaccinations for individuals who: Have difficulty leaving the home to get the vaccine, or Are hard-to-reach due to specific reasons, and face challenges getting vaccinated.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to reimburse Federally Qualified Health Centers (FQHCs), Rural Health Centers (RHCs) and Tribal Federally Qualified Health Center (Tribal FQHCs) providers a supplemental amount for COVID-19 vaccine only visits.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase the payment rates for the Habilitation – Community Living Arrangement Services (Licensed/Certified Residential Services) – Alternative Residential Model rate as a result of an increase to the state minimum wage.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a payment rate increases for inpatient hospital services including mental health, obstetrics, newborns, transplants, rehab, trauma and pediatric care. Additionally, payment rates for all deliveries are increased to cover the hospital’s costs of additional Department of Health requirements for newborn screening tests.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for hospitals to be reimbursed for nursing facility level of care in cases where the hospital is unable to find a nursing facility placement effective 12/1/21.
Summary: This amendment assures the American Rescue Plan Act’s (ARP) mandatory coverage of the COVID-19 vaccine, testing, and treatment without cost sharing.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to add a temporary rate increase of 10% to behavioral health services including ABA services, Children's Behavioral Health Initiative (CBHI) services, early intervention rates, psychologist rates and substance abuse disorder (SUD) clinic rates effective April 1, 2020 through July 31, 2020.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to pay nursing facilities an additional $20 per day payment per Medicaid beneficiary effective January 1, 2022 through June 30, 2022, or through the end of the Federally-declared Public Health Emergency (PHE), whichever is sooner.
