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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 SPA clearly defines the comprehensiveness issues regarding the reimbursement methodology for the State operated dental school, University of North Carolina School Of Dentistry.
Summary: Revises the criteria for participation in the critical access dental program, and increases the payment rates for certain critical access dental providers.
Summary: Restores comprehensive optional dental benefits for beneficiaries ages 21 and older, subject to medical necessity and utilization controls, that were not restored in May 2014
Summary: Revises the provisions governing the Professional Services program in order to allow certified medical assistants to apply fluoride varnish under the direction of a certified physician, and to establish training requirements for appliers of fluoride varnish.
