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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 Idaho’s Enhanced Alternative Benefit Plan (Enhanced ABP) to add children’s habilitation intervention services to the Enhanced ABP. The habilitation intervention services for children added to the Enhanced ABP also include Habilitative Skill, Behavioral Intervention, Interdisciplinary Training, and Crisis Intervention services.
Summary: This amendment will authorize the District to reimburse the Medicaid RACs up to the highest contingency fee used under the Medicare RAC Program.
Summary: This amendment to the MInnesota Medicaid state plan:
Reduces the rate to reflect the change in the MinnesotaCare provider tax on January 1,2020.
Adds a policy adjustment factor for specialty mental health services, and revises the policy adjustment factor for: burns; pre-major diagnostic category; transplants; and trauma.
Revises the charge limit.
Revises the base year to 2016 for hospital costs.
Summary: Proposes to make Graduate Medical Education (GME) paid claims Add-On Payments for Community Service Boards (CSBs) with GME programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME).
Summary: This amendment designates Stephanie M. Bates, Acting Commissioner of the KY Department for Medicaid Services, as the Governor’s designee for review and approval of state plan amendments
Summary: Describes the organization of New Mexico's Single state Agency, the New Mexico Department of Human Services, and the administration of the state's Medicaid
Summary: This amendment will allow the District to reimburse eligible governmental emergency ground transportation providers in accordance with the proposed cost-based methodology.
