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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 amendment adds a new supplemental payment for Class 1 nursing facilities with disproportionately high Medicaid utilization or that are geographically critical to ensuring access to care.
Summary: Updating payment amount for University of Colorado School of Medicine Supplemental Payment for Physician and Professional Services at Qualifying Colorado State- Owned or Operated Professional Services Practices.
Summary: The SPA updates the maximum daily coverage limits for long term home health and for acute home health due to a 3% across-the-board rate increase.
Summary: Adds supplemental payment for class I nursing facility providers that admit residents directly from the Colorado Department of Corrections who are released on parole or due to compassionate care or medical release.