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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: To update the reimbursement methodology for Certified Nurse Anesthetists as part of the Advance Practice Registered Nurse section of the State Plan.
Summary: Implements legislative change to clarify the timeframe during which nursing facilities must demonstrate their compliance with the October 2011 Cost-of-Living Adjustment for nursing facility front line staff.
Summary: This SPA is to amend the State's approved Title XIX State Plan to add coverage of the digital hearing aid and related codes as well as allowable hearing devices. This SPA limits hearing aid providers to purchase digital hearing aids only from the designated Hearing Aid Procurement Prograrn. This SPA also adds several Speech Services procedure codes, as necessitated by a change in coding standards.
Summary: Adds new procedure codes to the list of reimbursable services as part of the Dental Services and the Other Licensed Provider sections and to remove several procedurecodes as MaineCare reimbursable services.
Summary: Increases the supplemental payment pool and for non-critical access hospitals, hospitals reclassified to a wage area outside Marine and rehabilitation hospitals from $51,847,216 to $65,321,301.
