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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 increases certain rates for physician, dental, podiatry, x-ray, lab, family planning, EPSDT, emergency ambulance, and home health services.
Summary: This plan amendment updates the definition of a safety net hospital and updates the Acuity Adjustment Payment and Stop Loss Payment methodologies.
Summary: This state plan amendment incentivizes DD TCM staff to complete the Person-Centered Thinking (PCT) and the Fatal Five for Case Managers training to improve the quality of care and quality of life for individuals with developmental disabilities.
Summary: The SPA implements a 90-day grace period for behavior technicians to be covered under the other licensed practitioner Medicaid benefit while working to acquire the Registered Behavior Technician credential.
Summary: This SPA changes the MO HealthNet Dental Program to allow eligible MO HealthNet participants aged 21 and older to receive periodic oral evaluations. The SPA also allows MO HealthNet-enrolled dental providers to provide and receive reimbursement for the evaluations rendered.
