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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: 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: Provides a temporary extension to specific COVID-19 disaster relief (DR) provisions to increase bed hold days and payments authorized in DR SPAs 20-0006 and 21-0001.
Summary: This time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to waive the signature requirements for prescription drugs during the COVID Public Health Emergency from 3/1/20 through 9/1/22.
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 increases reimbursement for child medical evaluations performed by Specialized Children's Services clinics to better align reimbursement with actual costs of those services during the PHE.
Summary: Implement temporary policies, which are different from those policies and procedures otherwise applied under your Medicaid state plan, during the period of the Presidential and Secretarial emergency declarations related to the COVID-19 outbreak (or any renewals thereof).
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to disregard any excess resources for LTC members as of the month the PHE ends and for 90 days thereafter and increase its PE period to application month to following months or until a regular Medicaid application has been submitted and determination made.
Summary: an extension of our approved exception to establishing a recovery audit contractor. In 2019, CMS approved KY SPA 19-006, which approved an exception through April 1, 2022.
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 extend the $29 increase in case mix nursing facility per diem rates that was previously approved in KY SPA 21-003 through the end of the Public Health Emergency.
