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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: Effective July I ,2017, state plan amendment (SPA) l7-0006 makes conforming changes to the state plan to extend payments rate reductions for nursing facilities (NF) that are currently set toexpire 6130117. Under this State Plan Amendment (SPA), the current rates will continue through June 30, 2019.
Summary: This state plan amendment extends the current three percent rate reduction for outpatient hospital services (excluding ambulatory surgical center reimbursement), which is currently set to expire on June 30, 2017.
Summary: This SPA proposes to bring Indiana into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment (CMS-2345-FC).
Summary: Permits physician assistants to individually enroll with theMedicaid program as a provider of services and revises reimbursement for physician assistant services to 75 percent of the physician fee schedule rate.
Summary: Removes the twelve week coverage limitation for tobacco cessation services and adds optometrists, clinical social workers, marital and family counselors, mental health counselors, and licensed clinical addiction counselors to the practitioners who may provide tobacco dependence counseling services.
Summary: Revises the reimbursement methodology for outpatient hospital services to make outpatient hospital payments at the aggregate level of reimbursement that would be paid under Medicare payment principles.
Summary: This state plan amendment modifies the reimbursement methodology for faculty physician access-to-care payment adjustments to comply with federal requirements and to extend the payment adjustments to eligible faculty physicians and eligible practitioners employed by or affiliated with eligible health institutions.
