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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 transmitted a proposed amendment to Vermont's approved Title XIX State plan to increase the Federal poverty guidelines (FPGs) for various poverty level groups to reflect the increase in the FPGs as published in the Federal Register (FR) on January 20, 2011.
Summary: Removes unnecessary language regarding co-payments in hospital settings and removes co-payments for hospital emergency services for the categorically and medically needy.
Summary: Provides hospice services to children eligible for Medicaid and children eligible for the Medicaid expansion Children Health Insurance Program.
Summary: This SPA extends outpatient psychiatric care as a physician service through video telemental health technologies for eligible individuals in designated rural areas.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to revise the payment methodology for all hospitals for outpatient services to comply more closely with Medicare OPPS 2011 payment provisions.
Summary: This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to implement the Resource Based Relative Value System (RBRVS) as a reimbursement methodology for certain providers of services within the State's Medicaid fee schedules.
