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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: Changes the reference of "Intermediate Care Facility for the Mentally Retarded to "Intermediate Care Facility for Individuals with Intellectual Disabilities and to change the eligibility worker from Case Management at the Division of Welfare and Supportive Services to Case Manager at the Department of Health Care Financing and Policy.
Summary: This amendment updates reimbursement rates for inpatient hospital service and procurement relating to transplants, additionally this amendment adds psychiatric/substance abuse services for critical access hospitals to the list of services reimbursed at the general acute care hospital rates for interim payment purposes.
Summary: This SPA proposes to change references to ICD-9 Clinical Modification and DSM IV to the new ICD-10 Clinical Modification classifications for three targeted populations with mental illnesses.
Summary: This SPA establishes the income standards for the specific MAGI eligibility groups and the mandatory MAGI eligibility groups for Parents and Other Caretakers, Pregnant Women, Infants and Children Under Age 19, and Former Foster Care Children up to Age 26.
