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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 adds smoking cessation as a covered Medicaid benefit and expands current coverage of prescription and non-prescription tobacco cessation agents for the Medicaid eligible population.
Summary: This amendment modifies the State's methods and standards for setting payment rates for inpatient hospital services. Specifically, this amendment extends certain special payments provided to prospective payment hospitals and to safety net hospitals.
Summary: Provides for a technical correction of State plan language regarding the version of Resource Utilization Group/Min Data Set used as part of Nevadas nursing facility rate-setting.
Summary: Increases payment rates for certain facilities located in Clearwater and Kandiyohi Counties. Extends the suspension of the occupancy rate adjustment for an additional two SFYs.