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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 SPA was submitted to reflect a change to the date for the published fee schedule for Targeted Case Management for (TCM) Medicaid High Risk Infants and Children.
Summary: Updates Methods of Assuring Transportation, to reflect the current, long-standing, statewide use of non-emergency medical transportation brokers under a 1915(b) waiver, to arrange transportation and to reimburse for all but two types of transportation-related costs.
Summary: This transmittal is being submitted to implement changes to prevent the payment of Provider Preventable Conditions. These are conditions that would have been reasonably avoided through the application of evidence-based practices.
Summary: This transmittal is being submitted to for technical corrections made when SPA approved prior to 11-14. This incorporates the language with appropriate dates.
Summary: This amendment implements concurrent care for children on hospice in compliance with Section 2302 of the Affordable Care Act. In addition, this amendment provides comprehensive coverage language on hospice services within the State plan in accordance with 1905(o) of the Social Security Act.