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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 State Plan Amendment proposes to use the report card score published on June 30, 2017 to establish the report card score measure of the nursing facility total quality score for Medicaid reimbursement rates effective July 1, 2018 in accordance with IC 12-15-14-9.
Summary: This SPA adds reimbursement for the services provided by a community mental health center on or after August 1, 2017 that are enrolled qualified clinics approved by the state, and shall be reimbursed by the Medicaid RBRVs fee schedule, or percentage thereof, of the practitioner employed or contracted with the clinic.
Summary: Renews the AMHH §1915(i) home and community-based State Plan benefit and the renewal of the §1915(b)(4) waiver that allows for selective contracting of providers for AMHH and BPHC services, specifically Community Mental Health Centers to provide the services.
Summary: This state plan amendment outlines the alternative benefit plans for Healthy Indiana Plan Basic and adds enhanced substance use disorder benefits.
Summary: This state plan amendment allows for the utilization of non-emergency medical transportation (NEMT) broker for the fee-for-service population effective January 1, 2018. The NEMT broker will receive a capitated monthly all-inclusive rate to service all fee for service members. The amendment also allows for the reimbursement of meals and lodging.
Summary: Modifies the Reimbursement methodology for psychiatric residential treatment facilities from a single state-wide per diem rate to facility-specific per diem rates.
