An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 updates a Memorandum of Agreement involving the Department of Health and Mental Hygiene; the Family Health Administration; the Title V Maternal and Child Health Agency; Title X Family Planning Program; and Special Supplemental Nutrition Program for Women, Infants and Children.
Summary: Provides for a technical correction of State plan language regarding the version of Resource Utilization Group/Min Data Set used as part of Nevadas nursing facility rate-setting.
Summary: Transmitted a proposed amendment to your Agency's approved Title XIX State plan to update the organizational structure of the single State agency. Specifically, you proposed to (1) rename the Medicaid unit the Department of Vermont Health Access; and (2) elevate mental health to a department within the single State agency.
Summary: This amendment clarifies language regarding the assessment of penalties for late filing of a cost report and the removal of the requirement that there must be a change in the total per diem cost of the applicable cost center by ten cents or more per patient day in order to submit an amended cost report and changes to the intermediate care facility for the mentally retarded (ICF-MR) chart of accounts and the inclusion of day programming costs in the direct care costs of an ICF-MR.
