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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 plan amendment updates the reimbursement methodology for free standing short-term psychiatric hospitals, establishes reimbursement for PRTF ASD Treatment Services, and updates rates for PRTF services.
Summary: This plan amendment provides a one time across the board funding increase of up to $19.5 million to Assisted Living Programs (ALPS), Adult Day Health Centers (ADHC) and Hospice providers.
Summary: This plan amendment updates the payment methodology for certain rehabilitative services and establishes authority for a bundled rate methodology for Comprehensive Health Assessment (CHA) services.
Summary: This plan amendment proposes to implement an Ambulance Service Provider Fee Reimbursement Program for eligible Wisconsin Medicaid private ambulance providers.