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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: Calculation of state supplemental pharmacy rebate amounts in accordance with the National Medical Pooling Initiative (NMPI). This change will allow Nevada to receive additional supplemental rebate amounts and generate savings for the state.
Summary: The SPA provides assurances that the State complies with federal requirements regarding coverage of routine patient care associated with participation in clinical trials as required by the Consolidated Appropriations Act, 2021.
Summary: This SPA amends to bring Nevada's state plan into compliance with specific third-party liability requirements outlined in the Bipartisan Budget Act of 2018 and the Medicaid Services Investment and Accountability Act of 2019.
Summary: This SPA added pharmacists under other licensed practitioners since the state's scope of practice was expanded to allow pharmacist to prescribe certain drugs of devices with their scope of training and experience.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates for Self Help/Peer Services, Self Help/Peer Services-Group, Behavioral Health Assessment, and Adult Daycare Services.
