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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 removes the requirement that Medicaid recipients must be more than twenty miles away from any enrolled medication therapy management provider in order to qualify to receive this service via telehealth. Additionally, this amendment removes references to the drug stiripentol coverage. This drug received approval by the U.S. Food and Drug Administration and no longer requires an
Summary: State’s compliance with Division CC, Title II, Section 210 of the Consolidated Appropriations Act (2021), which requires mandatory Medicaid coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.
Summary: This Amendment adds licensed School Psychologists as an Other Licensed Practitioner and updates the mental health and substance abuse practitioner qualifications for rehabilitation services.
Summary: This SPA amends Attachment 3.1-D of the state plan to comply with the requirements for assurance of Medicaid coverage for non-emergency medically-related transportation.
Summary: This SPA amends Attachment 3.1-D of the state plan to comply with the requirements for assurance of Medicaid coverage for non-emergency medically-related transportation in accordance with section 209 of the Consolidated Appropriations Act of 2021.
Summary: This amendment provides required assurances that the state is appropriately covering and paying for routine patient costs of items and services for beneficiaries enrolled in qualifying clinical trials.
