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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 transmitted a proposed amendment to your approved Title XIX State plan to indicate that you will establish a Medicaid Recovery Audit Contractor (RAC) program as required by Federal Medicaid law.
Summary: Makes conforming changes to State Plan related to section 6411 of the Affordable Care Act which requires States to establish programs to contract Recovery Audit Contractors (RAC) to audit Medicaid providers.
Summary: The State is attesting that it will establish a Medicaid Recovery Audit Contractor (RAC) program by December 31, 2010, with an effective date of April 1, 2011, as required by the Affordable Care Act.
Summary: The State is attesting that it will establish by December 31, 2010, a Medicaid Recovery Audit Contractor (RAC) program with an effective date of April 1, 2011, as required by the Affordable Care Act.
Summary: Demonstrating compliance with the new requirements in section 1903 r of the Social Security Act by documenting California s participation in the Public Assistance Reporting Information System.
