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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 SPA was submitted based on enacted legislation to list a payment increase to minimum wages for Assisted Living Programs (ALPS) program sufficient enough to enlist enough providers for care.
Summary: To adopt New York's State Plan Amendment (SPA) #12-0030, the Office for People with Developmental Disabilities (OPWDD)-Rate Setting for Medicaid Service Coordination (MSC) into the State Medicaid Plan.
Summary: This SPA revises ABP 5 to expand family planning benefits to match the proposed expansion for these services in the New York Medicaid State Plan under the categorically needy population.
Summary: Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect the recalculated weights with component updates to become effective January 1, 2015.
Summary: Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, for the period January 1, 2015 through December 31, 2015.
Summary: Expands the population served by Adult Day Health Care Programs approved as providers of specialized services for registrants with AIDS to HIV-negative persons at high risk for HIV.
Summary: This SPA proposes to revise provision of Early & Periodic Screening Diagnostic & Treatment Services (EPSDT) services related to the expansion of behavioral health services provided to individuals under the age of 21.
Summary: This SPA proposes to revise provision of Early & Periodic Screening Diagnostic & Treatment Services (EPSDT) services related to the expansion of behavioral health services provided to individuals under the age of 21.
