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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 expands the qualified providers for behavioral health providers under the rehabilitative and targeted case management benefits.
Summary: This amendment is to clarify and update denture policy categorical information and clarify exemptions in the prosthodontics (removable) general policies for Medi-Cal.
Summary: This amendment aligns services provided by Registered Dental Hygienists (RDHs), Registered Dental Hygienists in Extended Functions (RDHEFs), and Registered Dental Hygienists in Alternative Practice (RDHAPs) with the state’s scope of practice laws.
Summary: This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2023 through June 30, 2024.
Summary: This SPA clarifies the reimbursement methodology for care coordination, recovery support services, peer support specialist services, and Medication Addiction Treatment (MAT) when provided in a residential treatment setting.
Summary: This SPA amendment is to allow for facilitated enrollment of California Work Opportunity and Responsibility to Kids (CalWORKs) beneficiaries into the Medicaid program without a separate financial eligibility determination.
Summary: This SPA amendment is to end the use of the electronic Asset Verification System (AVS) to determine or redetermine Medicaid eligibility for all Aged, Blind and Disabled (ABD) program applicants and recipients
Summary: This amendment is for §1915 state plan home and community-based services (HCBS) benefit and adding the new service Coordinated Family Supports.
