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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: adds the Medically Monitored Withdrawal service including initial assessment, substance use disorder assessment, medication administration, and individual, group, and family counseling services. The provider qualification descriptions have also been added.
Summary: Proposes inpatient hospital and outpatient hospital differential adjusted payments to facilities owned or operated by the Indian Health Services (IHS) or tribes under PL 93-638
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to clarify the bed hold policy language approved in an earlier state plan amendment.