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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 plan amendment revises tier levels under “Methods & Standards for Establishing Payment Rates” in the 1915(i) Home and Community Based Services section of the Medicaid State Plan.
Summary: This Amendment increases the income standard for the optional eligibility group serving Individuals whose incomes are above 133 percent of the federal poverty level and are under age 65.
Summary: This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Summary: This SPA is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.
Summary: The nursing acuity component measures the estimated nursing resource needs a resident may have based on their presenting conditions and functional status.
Summary: The state is amending the Community First Choice (CFC) program to add six years of professional/practical social service experience performing functions equivalent to a Social Service Specialist 2 as a qualification for individuals performing evaluations/assessments for CFC services.
Summary: This plan amendment extends the current hospital provider payment program through June 30, 2030, per the provisions of O.C.G.A. §31-8-179.6. This applies to inpatient and outpatient hospital services.
Summary: This plan amendment updates the outdated information about Small Rural Indigent Assistance Disproportionate Share Hospital payments and clarify references to Medicaid clients.
