An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: The amendment to the State Plan change the language of the limitation on speech therapy rehabilitative services. Rehabilitative services will be limited unless additional services are determined to be medically necessary. This yearly limit will be based on the calendar year (January 1 through December 31). Clients under 21 in the health check services program (EPSDT) are not benefit limited.
Summary: Update the income standards for recipients of its optional state supplement program Adult Public Assistance (APA) in accordance with the 2019 cost of living adjustments for the supplemental security income (SSI) federal benefit rate (FBR).
Summary: Allows reimbursement of licensed physician supervision in mental health clinics, integrated mental health and substance use intake assessments, screening and intervention services.
Summary: Brings the state into compliance with the 21st Century Cures Act regarding the limit on federal financial participation for durable medical equipment prosthetics orthotics and supplies in Medicaid.
