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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 establish coverage and payment for lactation consulting services, nurse home visiting services, and revise payment rates for group prenatal education as part of Ohio’s Maternal and Infant Support Program.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to implement one-time supplemental payments to hospitals for COVID-19 disaster relief.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to disregard certain accumulated resources that are normally subject to the post-eligibility treatment of income (PETI) rules for long term care beneficiaries.
Summary: This SPA will update Third Party Liability (TPL) requirements as authorized under the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019.
Summary: This amendment extends coverage for inpatient hospital services to include rehab services for chemical dependency to align with Ohio's current payment policy for SUD treatment facilities. In addition, this SPA proposes to delete 3 older sections from the state plan and incorporate the language from those sections into the amended Attachment 3.1-A and 4.19-A pages with no policy changes.
Summary: Complies with necessary changes resulting from the Consolidated Appropriations Act, 2021 requiring mandatory coverage of routine patient costs for services furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials on or after January 1, 2022.
Summary: Updates the state plan language to comply with amended section 1905(a)(30) of the Social Security Act, assuring coverage for routine patient costs of items and services for Medicaid beneficiaries
enrolled in qualifying clinical trials.
Summary: Allows the Disproportionate Share Hospital (DSH) payments calculations to be consistent between the preliminary and final DSH payment calculations effective January 1, 2022.