An official website of the United States government
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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 rates for Physician, Free Standing Birth Centers, Early and Periodic Screening Diagnostic, and and Treatment (EPSDT), and Dental Services.
Summary: This plan amendment updates the rate methodology for the 1915 Home and Community Based Services (HCBS) Community Mental Health Wraparound (CMHW) services to align with other HCBS program methodology.
Summary: This plan amendment proposes to makes changes to the SPA to revise the Medicaid reimbursement for physician services which will be reimbursed utilizing the Medicare payment policies for practitioner payment reductions and site-of-service payment reductions under the Medicare physician fee schedule.
