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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 revise the payment method for Chronic Disease and Rehabilitation hospitals effective.
Summary: This SPA eliminates the “deprivation” requirement relating to dependent children living with individuals who seek Medicaid on the basis or being parents and other caretaker relatives.
Summary: This amendment is part of the Alternative Benefit Plan (ABP) required for the adult population for Medicaid expansion. Specifically, this ABP is for the Consolidated Appropriations Act (CAA) coverage of routine costs associated with qualifying clinical trials.
Summary: This amendment addresses third party liability and related Medicaid payments associated with prenatal care, preventive pediatric services, and medical child support.
Summary: This amendment is to comply with mandatory Medicaid coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.
Summary: To update Ohio’s Alternative Benefit Plan by revising the language regarding the interplay between the fee-for-service and managed care delivery systems for the adult expansion group to more accurately reflect current policy.
Summary: NH entered into a contract with a new broker for non-emergency medical transportation. This amendment is being submitted to specify in the State Plan that effective May 1, 2022, the state changed the reimbursement methodology from a per member per month risk capitated rate.