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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 provides South Carolina with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: Increase rates for certain incontinence supplies, Substance Abuse and Addictive Disorder
services, autism spectrum disorder (ASD) services, and peer support services.
Summary: The SPA provides assurances that the State complies with federal requirements regarding coverage of routine patient care associated with participation in clinical trials as required by the Consolidated Appropriations Act, 2021.
Summary: provides for reallocation of the Arizona disproportionate share hospital (DSH) pool 4 funds
to pool 5, for the DSH state plan rate year ending 2020.
Summary: This plan amendment removes an add-on code for component-based vaccine administration and counseling and reference the correct fee schedule date.
Summary: State’s compliance with Division CC, Title II, Section 210 of the Consolidated Appropriations Act (2021), which requires mandatory Medicaid coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.
Summary: The SPA provides an assurance that the State complies with federal minimum requirements regarding medical transportation added by the Consolidated Appropriations Act, 2021. The SPA also clarifies language on the coverage and reimbursement transportation pages to better reflect current
practice.