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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: Proposes to revise the state’s Medi-Cal Fee-For-Service (FFS) reimbursement methodology for blood factors in Hemophilia Treatment Centers, as described on Supplement 2 to Attachment 4.19-B, page 9, in the California Medicaid State Plan.
Summary: Allows Targeted Case Management (TCM) providers in targeted groups 2, 3, and 10 who are Regional Boards to provide services directly or through a contract
Summary: Updates the amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2019
Summary: Designates Lisa Lee, Commissioner of the KY Department for Medicaid Services, as the Governor’s designee for review and approval of state plan amendments
Summary: Proposes to make Graduate Medical Education (GME) paid claims Add-On Payments for Community Service Boards (CSBs) with GME programs that are accredited by the Accreditation Council for Graduate Medical Education (ACGME).
Summary: This amendment designates Stephanie M. Bates, Acting Commissioner of the KY Department for Medicaid Services, as the Governor’s designee for review and approval of state plan amendments