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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 updates the effective date and fee-schedules for Ambulatory Surgical Clinic Services, In-home Peritoneal Services, Physician Services, Licensed Behavior Analysts, Substance Use Rehabilitation Services, Personal Care Services, Personal Care Services for Community First Choice Option, Chore Services for Community First Choice Option, and Long Term Services and Supports (LTSS) Targeted Case Management.
Summary: This amendment updates the reimbursement methodology for durable medical equipment/supplies and allows for a non-rural and rural rate according to the member's physical address.
Summary: This SPA amendment is to elect the option described in section 1902(e)(16) of the Social Security Act to provide 12 months of postpartum coverage to Medicaid-eligible pregnant individuals.
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 rescind SPA AK-22-0014, which temporarily extended the flexibility of a 10% rate increase for providers of Title XIX HCBS services effective 4/30/23. Effective May 1, 2023, AK 23-0004, will permanently implement the 10% increase plus the rebased amount for each of the listed Title XIX state plan Home and Community-Based Services: personal care, targeted case management, and 1915(k) Community First Choice Services, which replaces the AK 23-0005 rescission amendment.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to temporarily extend the suspension of behavioral health prior/service authorizations for one year after the end of the COVID-19 Public Health Emergency (PHE). This extension was authorized under the authority of an 1135 blanket waiver on 4.2.20. The TE extension is necessary to aid Alaska's return to routine operations.
Summary: This State Plan Amendment implements a payment rate for providers of Home and Community Based Services adopting a 10% increase for all HCBS (including waiver) services.
Summary: This amendment is to add coverage and reimbursement for services provided by licensed podiatrists under the other licensed practitioner benefit.
Summary: This amendment is to update the requirements for Third Party Liability – Payment of Claims for Third Party Liability- Identifying Liable Resources.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to waive first aid and CPR requirements on Attached Sheet to Attachment 3.1-A, page 11a and Attachment 3.1-K, page 7 for three months after the end of the PHE.