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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 amendment revises the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, the State proposes to reduce payment rates to achieve an additional annual savings of $205,036,381 to maximize the nursing home quality assessment.
Summary: This amendment revises the State's reimbursement methodology for setting payment rates for nursing facility services. Specifically, the State proposes to implement a nursing home quality assessment and revise reimbursement rates to restore reductions in rates implemented January 1, 2008 and January 1, 2009.
Summary: This amendment was submitted to implement the Asset Verification System that will be used to electronically verify the assets of aged, blind or disabled Medicaid applicants and recipients through access to information held by financial institutions.
Summary: This amendment provides for trend factors, revises the utilization adjustment for all hospitals except for safety net hospitals and children's hospitals, clarifies disproportionate share hospital (DSH) calculation to allow for payment up to 100% of DSH allotment, and defines the DSH cap.