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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 is for implementation of an electronic Asset Verification System (AVS) that will verify the assets of blind, aged or disabled applicants and recipients of Medicaid as required by Section 1940 of the Social Security Act.
Summary: This SPA proposes to eliminate reimbursement ceilings and implement buy back provisions for certain hospitals, increasing expenditures of$702,291,687 ($432,374,305 FFP) for the 12 months ending June 30, 2011.
Summary: This SPA proposes to reduce inpatient hospital rates to achieve a savings of total expenditures of $16 861,766 ($10,817,546 FFP) for the 21 months ending September 30, 2011.
Summary: This amendment revises Florida's Tribal consultation process, which consists of Florida Medicaid sending written notices to the Miccosukee Tribe of Florida and the Seminole Tribe of Florida, if the change is expected to have a direct impact upon the Tribes.
Summary: This SPA creates a new Medicaid-reimbursable program that will address adult substance abuse and adult substance dependence. Both substance abuse and substance dependence treatments will be encompassed within seven service categories.
Summary: This amendment allows self-direction for the less than 21 years old population eligible to self-direct their State Plan personal care services.
Summary: This SPA proposed to make the Wholesale Acquisition Cost (WAC) based reimbursement calculation equivalent with the current Average Wholesale Price (AWP) based calculation.
