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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: Revises the rate methodology for the Attendant Compensation Rate Enhancement in the Primary Home Care program to add five new enhancement levels resulting in 25 total levels.
Summary: Revises cost-sharing provision which apply premiums to certain children eligible under Nebraska's Autism Home and Community Based Services Waiver.
Summary: This SPA adds comprehensive substance abuse assessments, Level 1 Group and individual substance abuse counseling services and Level II Intensive Outpatient Services. Adding these services will increase payments to community-based substance abuse treatment programs.
Summary: This amendment proposes to expand your primary care case management (PCCM) program to add a patient-centered medical home services (PCMH) component.
Summary: This proposed plan transmitted an amendment to the approved Title XIX State plan making administrative changes to correct the renumbering of plan pages as well as to restore home health and private duty nursing reimbursement language which were inadvertently omitted under SPA 07-013.
Summary: Will allow Medicaid to end new admissions to this service effective January 1, 2010 and remove this service from the State Plan effective July 1, 2010. This amendment will also remove the paraprofessional level of community support services and case management functions from the service.
Summary: Allows Medicaid to end new admissions to this service effective January 1, 2010 and remove this service from the State Plan effective July 1, 2010. This amendment will also remove the paraprofessional level of community support services and case management functions from the service.
Summary: Clarification of reimbursement methodology for the Home Health Care Services. Increase Home Health care nursing and therapy rates for recipients under the age of 21 years.