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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 related to Opioid Health Homes is to comply with all requirements described in 42 CFR 437.10 and 437.15 related to mandatory reporting of the Core Set measures.
Summary: This amendment related to Behavioral Health Homes is to comply with all requirements described in 42 CFR 437.10 and 437.15 related to mandatory reporting of the Core Set measures.
Summary: This amendment related to Community Care Teams Health Homes is to comply with all requirements described in 42 CFR 437.10 and 437.15 related to mandatory reporting of the Core Set measures.
Summary: This SPA is to implement Community Care Teams (CCTs) to deliver health home services designed to address the whole-person needs to include assessment of the level of care coordination needs based on risk factors of adults and children with chronic conditions and polypharmacy and high emergency department utilization.
Summary: This BHH SPA amendment updates the reimbursement plan pages to identify two distinct PMPM rates: an adult PMPM rate and a child PMPM rate. This was due to in part a recently completed rate study performed by a contracted vendor for MaineCare Rate System Reform codification.
Summary: Maine State Plan Amendment (SPA) ME-22-0018 for Opioid Health Home (OHH) to establish a tier of services within the OHH program specific to perinatal care teams. These services with the OHH program are referred to as the Maine MOM (Perinatal OUD Care).
