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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 allows the Department to use the financial eligibility findings of the Supplemental Nutrition Assistance Program (SNAP) to enroll and reenroll children under age 19 in Medicaid.
Summary: Requires states that recognize freestanding birth centers and the services rendered by certain other professionals providing services in a freestanding birth center to cover the services provided by those centers and professionals as mandatory Medicaid services eligible for FFP.
Summary: Clarifies the current physician payment methodology pursuant to CMS' request via the March 20, 2013 companion letter to CMS' approval of NJ State Plan Amendment 12-09 submitted to allow optometrists to participate in the NJ Medicaid Electronic Health Records Incentive Program.
Summary: Provides a separate reimbursement methodology for dental services provided to beneficiaries with chronic medical conditions and/or developmental disabilities.
Summary: Removes Obsolete Language Pertaining to Outpatient Hospital Reimbursement Methodology Used in the SFY 2013, Replacing it with Reimbursemetn Calculations for SFY 2014.
