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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 a Process Under Which the State Seeks Advice from Designees of Indian Health Programs and Urban Indian Organizations on State Plan Amendments, Waivers, and Proposal for Demonstration Projects that may Affect Indian Health, Indians, or Urban Indian Organizations.
Summary: Implements Section 5006 e of the Recovery Act, which mandates that States consult withTribes and designees of Indian health programs on State plan amendments, waiver requests, or proposals for a demonstration project that are likely to have a direct effect on Indians.
Summary: Adds a limit to crown for adults, two per year and update orthodontia payment from 'by report' to a fee schedule, this also changes the date the agency's rates were set.
Summary: Clarifies the limitations place on medical and surgical services proficed by a dentist and corrects the preprint numbering relating to this item.
Summary: Proposes to make supplemental payments for dental services provided by practitioners employed by a public entity (University of Nebraska Medical Center, School of Dentistry).