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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: updates state plan to increase the reimbursement rate for Target Case Management providers by four percent based on a legislative approved Cost of Living adjustment.
Summary: Continues Graduate Medical Education (GME) Supplemental Subsidy payments made on behalf of individuals enrolled in the New Jersey CW Demonstration.
Summary: Proposes to add coverage allowing Doula Services to provide support for pregnant individuals throughout the perinatal period to the Title XIX and State Plan
Summary: Includes the Ohio Department of Rehabilitation and Corrections in the list of qualified entities eligible to make Presumptive Eligibility (PE) determinations for Pregnant Women, Children, Adults, Parents or Caretaker Relatives, and the Former Foster Care Group.
Summary: This amendment is to increase Home and Community Based Services (HCBS) 1915(i) rates by 4 percentage as set by legislature. In addition, this amendment includes a technical correction to Att. 3.1i page 13 physical evaluation requirement language.