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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 updates the methodology for setting reimbursement rates for Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC).
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 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. This SPA also includes state attestation that it will submit mandatory Health Home Core Set data pursuant to 42 CFR §§ 437.1O and 437.15.
Summary: This plan amendment updates buy-back provisions for Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF/IDD), as outlined within the State Plan. In addition, the amendment incorporates funding as outlined in the annual General Appropriation Act for a new level of reimbursement for clients who have severe behavioral needs, incorporates funding to providers to raise wages of direct care employees to at least $15.00 per hour, and makes technical and editorial changes.
