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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 SPA establishes a rate add-on to existing payment rates for health home services to distribute payment amounts approved in the State's Medicaid Redesign Team 1115 demonstration Waiver.
Summary: This SPA expands the state's health homes program statewide and adds Hepatitis C as a covered chronic condition. The State plan pages for this SPA were submitted through the Medicaid Model Data Lab (MMDL) on September 17, 2014.
Summary: This SPA reduces the sole community health disproportionate share hospital pool from $800,000 total computable per year to $600,000 for SFY 2015.
Summary: This state plan amendment proposes to align the Program of Assertive Community Treatment (PACT) service with the Health Home service, including for reimbursement purposes.
Summary: Seeks reimbursement for health home services to enrollees with one chronic condition, Bipolar Disorder, and being "at risk" for developing another, Hepatitis B and/or C, in the counties of Wayne, Cabell, Putnam, Kanawha, Raleigh, and Mercer.