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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 transmittal is being submitted to reflect a new methodology to calculate the DSH payments to DSH hospitals and to describe the Upper Payment limit calculation.
Summary: This transmittal is being submitted to implement changes to The Outpatient payment method as outlined in S.B. 204 passed in the 2011 Oregon Legislative session.
Summary: Adds home and community-based services (HCBS) to the Medicaid State plan for individuals with chronic mental illness, under the authority of Section 1915(i) of the Social Security Act (the Act).