An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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: The plan amendment makes the state be able to comply with federal requirements of section 1902 of the Affordable Care Act regarding Freestanding Birth Center Services. The plan amendment does not have a direct Impact on Indians, Indian Health programs, or Urban Indian organizations.
Summary: Which assure compliance with and implementation of Section 6401 of the Affordable Care Act regarding Medicaid Provider Screening and Enrollment.
Summary: This SPA implements the Medicaid/CHIP Provider Screening and Enrollment provision under section 6401 of the Affordable Care Act and section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Summary: The plan was amended to cover additional inpatient psychiatric and mental health days above the current limit of 24 days for individuals age 21 and above. The plan amendment has no direct impact on Indians, Indian Health programs, or Urban Indian Organizations.
Summary: This SPA makes conforming changes to the State Plan to Implement a system to screen all participating providers according to their categorical risk level , upon initial enrollment and upon re-enrollment or revalidation of enrollment.
Summary: This SPA makes changes to the State Plan as a result of Section 4107 of the Affordable Care Act that amends section 1905 of the Social Securoity Act to require coverage of counseling and pharmacotherapy for cessation of tobacco use by pregnant women.
