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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: Amends the State Plan to Implement the Resource Utilization Group (RUG) IV classification system, Identify the increase for nursing facility services, change the allowable education expense limit, identify salaries accrued at a facility's year end, but not paid within 75 days of The cost report yearend as an unallowable cost, and additional changes to provide for further detail on reporting requirement.
Summary: This amendment makes the changes and clarifications necessary for Georgia to be responsive to the Department of Justice Settlement through the addition of new services and modifications to existing services.
Summary: Implements an Asset Verification System as part of the Medicaid eligibility determination and recipients. Defines the requirements of the Asset Verification System.
Summary: This State Plan Amendment (SPA) was submitted to request an exemption to the Recovery Audit Contractor requirement 455.508(b) requiring 1.0 FTE Medical Director.
Summary: This SPA makes conforming changes to the State Plan to implement changes made to the Indiana Code at IC 12-15-13-4 by HEA 1001 (2011) that directs OMPP to issue a final recalculated Medicaid rate due to an audit after the reconsideration period rather than waiting until all the appeal rights under 405 IAC 1-1.5-2 have been exhausted, increases Medicaid reimbursement to nursing facilities fur initiatives that promote and enhance improvements in quality of care to nursing facility residents, extends the effective dates of various rate parameters and limitations, increases administrative reimbursement, and clarifies provider cost classification and reporting issues.
