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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: The State specifies its current coverage for active pharmaceutical ingredients (API)s and excipients under the Prescribed Drug section of the Medicaid State Plan.
Summary: Proposes to remove the final settlement process language for non-state-government-owned and state-government-operated hospitals that limits the reimbursement to no more than cost for outpatient hospital services.
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: Allows licensed pharmacists employed by an AHCCCS-registered pharmacy and acting within their scope of practice to administer seasonal flu and pneumococcal vaccines and anaphylaxis agents. AHCCCS-registered pharmacies will be reimbursed an administration fee for seasonal flu and pneumococcal vaccines and anaphylaxis agents administered by licensed pharmacists.