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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: The proposed amendment documents coverage of COVID-19 tests as a benefit in Texas Medicaid, including at-home tests provided through a pharmacy.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to amend the methodology for retention payments to providers delivering HCBS attendant and nursing services through the provider agency and consumer directed services option in the following state plan services: Community Attendant Services program; Primary Home Care program; day activity and health services; Community first choice (CFC) personal assistance services and CFC habilitation services; 1915(i) Home and Community-Based Services--Adult Mental Health Program; and personal care services.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to waive the counseling signature requirements for the dispensing of drugs during the COVID-19 Public Health Emergency.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to pay Federally Qualified Health Centers (FQHCs) a Medical Assistance (MA) Fee Schedule rate, equivalent to the Medicare rate, for administration of COVID-19 vaccines beginning December 11, 2020 through end of the PHE.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to pay Rural Health Clinics (RHCs) a Medical Assistance (MA) Fee Schedule rate, equivalent to the Medicare rate, for administration of COVID-19 vaccines beginning December 11, 2020 through the end of the PHE.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to adopt the third amendment to the Public Readiness and Emergency Preparedness (PREP) Act which covers the Advisory Committee on Immunization Practices (ACIP) recommended vaccines for children ages three through 18 and indicate the state provides coverage of any drug or biological that is approved (or licensed) by the U.S. Food & Drug Administration (FDA)
or authorized by the FDA under an Emergency Use Authorization (EUA) to treat or prevent COVID-19, consistent with the applicable authorizations.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to suspend the collection of data for performance measures other than those identified for the Health and Welfare assurance for the Section 1915 program and notes that the data will be unavailable for this time frame in ensuing reports due to the circumstances of the pandemic.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for the administration of the COVID-19 vaccine to be reimbursed at a set fee equal to the same amount approved for the vaccine administration in a physician’s office and outside of the daily case mix rate of Nursing Facilities.
Summary: CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to pay an intermediate care facility for individuals with an intellectual disability (ICF/IID) to reserve a bed for eligible residents during temporary leaves of absence taken to reduce the risk of COVID-19 transmission.
