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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 proposes to reflect changes in payment rates for home visiting services and codify the Nurse-Family Partnership and Health Families America into the State Plan.
Summary: This amendment proposes to update Rhode Island’s Medicaid State Plan to include chiropractic services and establish a payment methodology within fee-for-service Medicaid.
Summary: Establish professional rates for services provided to beneficiaries who are identified by the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals as developmentally disabled and will be reimbursed at distinct rates. Rates will differ based on whether the service is delivered in a community setting or in an office or via telehealth.
Summary: This amendment proposes to make services provided by certified school psychologists eligible for Medicaid reimbursement as directed by the Rhode Island legislature.
Summary: On September 20, 2023, CMS received Rhode Island State Amendment RI-23-0010 for CEDAR Health Homes. EOHHS is seeking approval from CMS to update Rhode Island’s Medicaid State Plan to implement a change in the rate methodology for Cedar Family Centers.
