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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 State Plan Amendment proposes to use the report card score published on June 30, 2017 to establish the report card score measure of the nursing facility total quality score for Medicaid reimbursement rates effective July 1, 2018 in accordance with IC 12-15-14-9.
Summary: Effective July 1 2018 this amendment will provide a separate reimbursement rate for care and services fornishcd in licensed distincl units that provide specialized hospital-based psychiatric services dedicated solely to the treatment of persons aged 18 and older.
Summary: Updates service descriptions and adds new rehabilitative services for Medicaid-eligible recipients with mental illness, substance use disorder, or co-occurring mental illness and substance-use disorder diagnoses.
Summary: This SPA adds reimbursement for the services provided by a community mental health center on or after August 1, 2017 that are enrolled qualified clinics approved by the state, and shall be reimbursed by the Medicaid RBRVs fee schedule, or percentage thereof, of the practitioner employed or contracted with the clinic.
Summary: Through this SPA, Alabama implements mental health parity requirements in section 2103(c)(6) of the Social Security Act (the Act) and regulations at 42 CFR 457.496 to ensure that financial requirements and treatment limitations applied to mental health (MH) and substance use disorder (SUD) benefits are no more restrictive than those applied to medical/surgical (M/S) benefits.