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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: Provides for the implementation of the federal law (Section 2702 of the Affordable Care Act of 2010) which prohibits the payment of identified provider-preventable conditions (PPCs).
Summary: Sets reasonable limitations under Section 1902(r)(1)(A)(ii) for costs which may be deducted from total income when determining client obligation through post-eligibility calculations.
Summary: This amendment provides for a per diem increase to nursing facility and H IV nursing facility reimbursementrates by granting a one dollar and twenty-five cents ($1.25) increase to the current per diem rate\effective for dates of service beginning July 1, 2014.
Summary: This amendment proposes to remove barbiturates benzodiazepines, and agents used to promote smoking cessation from the list of drugs the state Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502(a) of the Affordable Care Act.
Summary: Provides for a three percent increase in the base per diem rates for nursing facility and HIV nursing facility services. Additons to the base rate and certain explicit items of fixed cost are excluded from the increase.
Summary: This amendment provides for quarterly supplemental payments to public and private nursing facilities for dates of service beginning October 1, 2012.