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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 plan amendment updates the payment methodology for certain rehabilitative services and establishes authority for a bundled rate methodology for Comprehensive Health Assessment (CHA) services.
Summary: This plan amendment eliminates the requirement that the Department rebase nursing facility costs by July 1, 2024, and adds the requirement that the Department reimburse at least seventy-five per cent (75%) of the as-filed settlement pursuant to a facility's cost reports within ninety (90) days of receipt.
Summary: This plan amendment modifies the reimbursement for the Primary Care Case Management Program and aligns it with the Healthy Connections Value Care Program.
Summary: This amendment proposed to memorialize its new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Maine's State Plan.
Summary: This plan amendment authorizes a payment to supplement personal cru·e se1vices provided by qualified Private Non-Medical Institutional "Appendix C" facilities.
