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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to waive the requirement (for year 2023) that state notify enrollees, through an annual mailing, that one or more of their healthcare providers are now part of the state's Integrated Health Partnerships (IHP) program (as outlined in approved State Plan Attachments 3.1-A Page 79b2 and Attachment 3.1-B Page 78b2).
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to provide a lump sum payment to Home and Community Based Providers for services provided during the PHE and can be used for hiring, longevity, and complex care longevity bonuses.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend, without modifications, the 5% increase in payment rates for ODDS services and settings approved under DR SPA OR-22-0028 for a temporary period of 5/12/23 through 6/30/23.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend, without modifications, the wage add-on for Home and Community-Based Service (HCBS) providers approved under DR OR-23-0005 for a temporary period of 5/12/23 through 6/30/23.
Summary: TX added telemedicine as a permanent delivery method for HCBS Psychological Rehabilitation (PRS) and Community Psychiatric Supports and Treatment (CPST) Services in the Adult Mental Health (AMH)1915(i) benefit.
Summary: This plan amendment updates the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care
Workers and also updates the Personal Care Services (PCS) reimbursement section and reference to the fee schedule.
Summary: Makes administrative corrections to Ohio's Alternative Benefit Plan (ABP), specifically ABP 5, to better align it with the Medicaid State Plan.