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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: Increases nursing home Medicaid rates by $12.41 million and provides an additional $3,577,000 to increase specialty care nursing facility per diem rates for the period January l, 2015 through June 30, 2015.
Summary: Adds a provision that limits rates from dropping below prior SFY rates and (2) Proposes an additional $650,000 to be allocated to special care nursing facilities for the period January 1, 2014 through June 30, 2014.
Summary: This amendment proposes to increase Graduate Medical Education (GME) payments authorizedin the state's 1115 Comprehensive Waiver from $127 million to $188 million.
Summary: Reduces the budget adjustment factor used in setting nursing home rates andadds a provision the limits rates from dropping below the last rate paid in SFY 2012.
Summary: Removes specific geographic references as the state will phase in additional counties in accordance with Section 1945 of the Act and state specific criteria.
Summary: Children with SED will qualify for health home services whereas SED will be defined to include serious emotional disturbance, co-occurring developmental disability and mental illness, co-occurring mental health and substance abuse, or developmental Disability eligible (per NJ Statute 10:196) with symptomology of SED.
