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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: Increases Amount of Allowable Home Equity Interest for Individuals Seeking Medicaid Eligibility for Nursing Facility Services or Other Long-Term Care Services.
Summary: ICF-MR reimbursement systems for SFYs 2012 and 2013, and modification of the per diem rate for SFY 2012 for the ICF-MR outlier provider Sunshine/King Road Family Care Home.
Summary: This amendment increases the rate paid to Adult family and licensed boarding homes contracted to provide assisted living and enhanced adult residential care and services. This increase was necessitated by the passage of initiative 1163, which increased training, certification and background check requirements for providers.
Summary: This SPA implements comprehensive changes to the effective date related to fee-for service providers for the following services: Physicians' Services, Dental Services, Mental Health Services, Podiatry, Nurse-Midwife Services, Durable Medical Equipment, Local Health Services, Laboratory Services, Handling Lab Specimens, X-Ray Services, Optometry Services, Medical Supplies and Equipment, Home Health Services, Physical Therapy, Occupational Therapy, Speech Therapy, Clinic Services, Personal Assistance Services, Supplemental Physician Payments and Supplemental Payments to Non-State Government Clinics.