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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: To implement the required Asset Verification System for the purpose of determining eligibility for aged, blind and disabled Medicaid applicants and recipients in accordance with 1940 of the Social Security Act.
Summary: This amendment allows pharmacists employed by pharmacies participating in the Kentucky Medicaid program, to be reimbursed a vaccine administration fee at the same rate established to reimburse physicians.
Summary: This amendment proposes to expand your primary care case management (PCCM) program to add a patient-centered medical home services (PCMH) component.
Summary: The plan amendment implements provisions for the coverage and reimbursement for fluoride varnish applications in a physician office setting. The change did not require a tribal consultation.
Summary: The SPA transmitted a proposed amendment to your approved Title XIX State plan to reduce payment rates to non-exempt providers by two percent.
Summary: This amendment limits eyeglass frames for adults twenty-one (21) years of age and older to one pair every two years and lenses to one pair every three hundred and sixty five days.
