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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 amendment establishes coverage of Certified Community Behavioral Health Centers (CCBHCs) and reimbursement of CCBHC services in Kansas Alternative Benefit Plan.
Summary: This amendment establishes coverage of Certified Community Behavioral Health Centers (CCBHCs) and reimbursement of CCBHC services using a prospective payment system.
Summary: To allow enrollees to also be enrolled in Managed Care for their acute medical care needs, where in previous years they had been carved out into Fee for Service Medicaid.
Summary: To amend chiropractors' services, specifically, to allow coverage guidelines for treatment more consistent with the licensure scope of practice for chiropractors.
Summary: adds a value-based purchasing (VBP) supplemental sub-pool that distributes $600,000 annually to eligible hospitals based on performance on one or more predetermined quality measures.
Summary: This plan amendment updates the date of the fee schedule for state plan services on the Introduction Page. This will allow the department to update Medicaid fees, additions, deletions, or changes to procedure codes when Medicare releases and updates their fee schedule.