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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: Extension of the 5% rate reduction to Medicaid payments made to Home Health providers effective for the period July 1, 2013-December 31, 2013 in addition to a decrease of the 5% rate reduction to 3% effective for the period January 1, 2014 - June 30, 2015.
Summary: Extend the five percent (5%) Medicaid rate reduction for emergency transportation services and the ten percent (10%) Medicaid rate reduction for non-emergency transportation services effective for the period July I, 2013-December 31, 2013.
Summary: This amendment modifies the methodology for distributing UPL supplemental payments to Nonstate Government Operated or Owned (NSGO) nursing facilities.