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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: Rehabilitative services provided by community mental health facilities and rehabilitation services provided by alcohol and other drug treatment programs.
Summary: This amendment modifies the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, the amendment removes the requirement to limit the Administrative and operating costs of private nursing facilities for the severely disabled to a peer group ceiling.
Summary: This amendment serves to implement Section 19002(a)(10)(A) of the Social Security Act (the Act), including continuous eligibility under Section 1902(e)(12) and presumptive eligibility for children under Section 1920A of the Act . Ohio is a Medicaid expansion state under Title XXI; this is a companion state plan submission to our Title XXI state plan amendment, SCHIP #5.