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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: To extend the state's exemption to the Recove1y Audit Contractor (RAC) program requirements for the two-year period beginning April 1, 2023 through April 1, 2025.
Summary: This amendment proposes a change to the prior authorization requirements for non-routine therapy services provided to beneficiaries residing in nursing facilities.
Summary: Provides authority to amend the method for determining the current asset value bed limit for Class 1 nursing facilities by recognizing an upper limit based on a rolling 15-year history of new construction costs.
Summary: provides authority for licensed Genetic Counselors to become enrolled with Michigan Medicaid and be reimbursed for their services. There will also be a corresponding ABP SPA.
