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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: Requires Oregon to have comprehensive tobacco cessation services for pregnant women including both counseling and pharmacotherapy without cost sharing.
Summary: Adds Advanced Practice Nurses, Peer Support Specialists and Mental Health Interns as providers under the Mental Health Rehabilitation section of the Medicaid state plan.
Summary: Adjusts the fees paid for selected services provided by certain primary care physicians and for vaccine administration under the Vaccines for Children Program to equate to 100% of Medicare rates for calendar years 2013 and 2014.
Summary: Implements the federally authorized enhanced Medicaid payment for primary care services furnished by certain physicians in the calendar years 2013 and 2014.
