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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: To establish coverage and payment for lactation consulting services, nurse home visiting services, and revise payment rates for group prenatal education as part of Ohio’s Maternal and Infant Support Program.
Summary: To implement a Home Visiting Services program to offer informational support, and facilitate screening and care coordination to support healthy outcomes through pregnancy and up to a child’s second or third birthday, depending on the program of enrollment. Services will be provided by specially trained professionals within the Healthy Families America (HFA) and Nurse Family Partnership (NFP) services programs.
Summary: This state plan amendment allows North Carolina Medicaid to increase rates for Child/Adolescent Day Treatment, Community Support Team, High-Risk Intervention, Partial Hospitalization, Peer Support Services, Psychosocial Rehabilitation, Substance Abuse
Intensive Outpatient Treatment, and Substance Abuse Comprehensive Outpatient Treatment, as proposed in the HCBS Spending Plan.
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 update nursing home rate components for general liability, property insurance, and property tax pass-through to the 2021 cost report.
Summary: This time limited disaster relief SPA seeks to update the effective dates, scope, and details consistent with the state's ARPA sec. 9817 HCBS spending plan, by implementing coverage and payment changes to section 1915. Connecticut Home Care Program for Elders (CHCPE) services.
Summary: The purpose of this state plan amendment is to add Community-Based Care Management (CBCM) Services by Opioid Use Disorder Centers of Excellence (COEs).
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 implement a one-time supplemental payment of $500 issued to currently employed home care staff, as of July 1, 2022.