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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 proposed plan transmitted an amendment to the approved Title XIX State plan proposing to reduce provider methadone maintenance rates to the Medicare Upper Payment Limit ($85.53 per week) or by 3%, which ever results in a higher rate.
Summary: Implements the Telemedicine program in order to improve access to health care for Medicaid eligible recipients residing in medically underserved areas of Alabama.
Summary: This option allows States to provide full Medicaid coverage to otherwise eligible alien children or pregnant women lawfully residing in the United States.
Summary: The purpose of this plan amendment is to update the reimbursement rates for tuberculosis (TB) clinics within the physician fee schedule and removes the reimbursement pages far TB clinics because they will be paid under the physician fee schedule.
Summary: The purpose of this plan amendment is to remove the eligibility requirements that (1) the newborn child of a mother who is a Medicaid recipient must continuously reside with the mother for one year after birth; and (2) that the mother remain eligible for Medicaid (or would remain eligible if still pregnant) in order for the child to receive Medicaid benefits for one year after birth. This change enables the state to comply with the amendment to section 1902(e)(4) of the Social Security Act due to CHIPRA of 2009.
Summary: The proposed amendment updates the reimbursement rates for Certified Nurse Midwife (CNM) services within the Physician Services fee schedule. This amendment also removes the state plan pages for birthing enters because they will no longer receive Medicaid payments.