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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: Healthcare and Family Services (IHFS) will not implement a single preferred drug list. IHFS will remove references to single PDL from the Supplemental Rebate Agreement.
Summary: Revise the Federally Qualified Health Clinic (FQHC) reimbursement provisions to add an alternative payment methodology for Indian Health Services (I.H.S.) tribal clinics, pursuant to Section 1902(bb)(6) of the Social Security Act.
Summary: The purpose of the SPA is to implement a statewide fee schedule reimbursement for case management services in accordance with 2018 Iowa Acts, Senate File 2418, Section 132.
Summary: Allow the Mississippi Division of Medicaid to include Psychiatric Residential Treatment Facility (PRTF) services as covered and reimbursed by the coordinated Care organizations (CCOs).