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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 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.
Summary: This amendment implements the consultation of tribal health programs prior to the submission of any plan amendment in compliance with Section 1902(a) (73) of the Social Security Act as required at 5006(e)(2) of the American Recovery and Reinvestment Act.
Summary: Assures that Arizona complies with the process of screening and enrolling providers and suppliers for the Medicaid program in accordance with Section 6401 of the Affordable Care Act, the Provider Screening and Other Enrollment Requirements Under Medicare, Medicaid,and CHIP.
Summary: This SPA makes conforming changes to the State Plan to Implement a system to screen all participating providers according to their categorical risk level , upon initial enrollment and upon re-enrollment or revalidation of enrollment.
Summary: Develop and provide an Asset Verification System, that ,meets the requirements of Section 1940(a) of the Social Security Act, to determine or redetermine Medicaid eligibility for aged, blind and disabled Medicaid applicants and recipients.
Summary: This SPA clarifies that the State does not cover licensed or otherwise state-approved Freestanding Birth Centers as outlined in Section 2301 of the Affordable Care Act.
