An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: The plan was amended to cover additional inpatient psychiatric and mental health days above the current limit of 24 days for individuals age 21 and above. The plan amendment has no direct impact on Indians, Indian Health programs, or Urban Indian Organizations.
Summary: The Arkansas Title XIX State Plan was amended to allow Advanced Practice Nurses ( APN) to perform a psychiatric diagnostic assessment under the Rehabilitative Services for Persons with Mental Illness ( RSPMI). The Advanced Practice Nurse will be under the direct supervision of a psychiatrist.
Summary: The plan amendment will provide for payment of Medicaid personal care services in assisted living facilities on a per diem basis. No tribal consultation was required, therefore no direct impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: This SPA transmitted a proposed revision to New Hampshire's approved Title XIX State Plan in order to remove the 18 visit service limit on physician and advanced registered nurse practitioners (ARNP) to change the psychotherapy service limit from 12 to 18 visits for adults age 21 and over and from 12 to 24 the visits for children under age 21.
Summary: The plan amendment revises the Medicaid maximum reimbursement rates for clinical laboratory services. This amendment did not require a tribal consultation.
Summary: Provides Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.
Summary: To implement a conflict-free case management, adds a small population of clients transitioning into the community from nursing facilities and revises the current reimbursement methodology for targeted case management beneficiaries age 60 and older.