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: This is submitted to revise the approved Title XIX State plan to describe changes to the reimbursement methodology for continuous skilled nursing services provided by home health agencies.
Summary: Renews the AMHH §1915(i) home and community-based State Plan benefit and the renewal of the §1915(b)(4) waiver that allows for selective contracting of providers for AMHH and BPHC services, specifically Community Mental Health Centers to provide the services.
Summary: This state plan amendment outlines the alternative benefit plans for Healthy Indiana Plan Basic and adds enhanced substance use disorder benefits.
Summary: This SPA modifies the DME reimbursement in accordance with the 21st Century Cures Act. Specifically, the pricing methodology for DME items described in section 1861(n) of the Social Security Act will be equal to the lower of the DMEPOS non-rural Medicare rate or the competitive bidding area rate specific to Alabama.
Summary: This SPA adds TCM services for Medicaid-eligible individuals who have a diagnosed substance use disorder or substance-induced disorder, and revises outdated language for Target Group 1, Mentally Ill Adults, and Target Group 3, Disabled Children.
Summary: This state plan amendment allows for the utilization of non-emergency medical transportation (NEMT) broker for the fee-for-service population effective January 1, 2018. The NEMT broker will receive a capitated monthly all-inclusive rate to service all fee for service members. The amendment also allows for the reimbursement of meals and lodging.
Summary: This plan amendment purposes to reduce New Mexico's home equity limits for Medicaid coverage of long-term services and supports (LTSS) from $858,000 (the maximum amount permitted under law) to $572,000 (the minimum amount permitted under law).
Summary: Modifies the Reimbursement methodology for psychiatric residential treatment facilities from a single state-wide per diem rate to facility-specific per diem rates.