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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 amendment continues Pennsylvania's authority to make supplemental payments to qualifying nursing facilities providing ventilator and tracheostomy care.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to add pharmacists' services to other practitioners' services, to allow licensed pharmacists, pharmacy interns, and pharmacy technicians to administer COVID-19 vaccines, consistent with their scope of practice. Effective December 1, 2020, the state will pay a rate equivalent to the Medicare rate for administration of COVID-19 vaccines.
Summary: Effective June 1, 2021 and expiring on May 31, 2023, this amendment provides an exception from the Medicaid Recovery Audit Contractor (RAC) requirements.
Summary: Reauthorizes and continues a series of additional classes of DSH payments and two targeted supplemental payments for qualifying private acute care hospitals.
Summary: This amendment will continue certain benefits changes beyond the end of the COVID-19 Public Health Emergency (PHE). The home health, prescription drug, targeted case management, and nursing facility benefits in this SPA was originally approved on May 24, 2021. At the time of approval, the end date of the PHE was not known. Now that the date is known, this SPA has been updated to reflect an effective date of May 12, 2023.
Summary: reauthorizes and continues a series of additional classes of DSH payments and two targeted supplemental payments for qualifying private acute care hospitals.
Summary: This SPA adopts the option to provide Medicaid eligibility without a 5-year waiting period to otherwise eligible individuals who lawfully reside in Guam in accordance with the Compacts of Free Association (COFA) between the Government of the United States and the Governments of the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau
Summary: This amendment continues Pennsylvania's authority to make supplemental payments to qualifying nonpublic nursing facilities in a county of the eighth class
Summary: Effective February 28, 2021, this amendment continues Pennsylvania's authority to make supplemental payments to non-public special rehabilitation nursing facilities.
Summary: Effective February 28, 2021, this amendment continues Pennsylvania's authority to make supplemental payments to non-state government owned nursing facilities with high Medicaid occupancy rates.
