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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 SPA updates the payment methodology for prescribed drugs and allows for coverage of drugs authorized for import by the Food and Drug Administration to mitigate the effects of a drug shortage.
Summary: This SPA allows coverage of medically necessary prescribed drugs that are not covered outpatient drugs, including drugs authorized for import by the U.S. Food and Drug Administration (FDA), during drug shortages. Additionally, this SPA authorizes reimbursement of prescribed drugs that are not considered covered outpatient drugs, with the same reimbursement methodologies as covered outpatient drugs.
Summary: This SPA allows coverage of medically necessary prescribed drugs that are not covered outpatient drugs, including drugs authorized for import by the U.S. Food and Drug Administration (FDA), during drug shortages.
Summary: This SPA allows for coverage of medically necessary prescribed drugs that are not covered outpatient drugs, including drugs authorized for import by the U.S. Food and Drug Administration. Administration (FDA), during drug shortages.
Summary: This SPA authorizes coverage of select prescribed drugs as well as coverage of drugs authorized for importation by the Food and Drug Administration to mitigate the effects of a drug shortage.
Summary: This SPA amends the State Plan for coverage of drugs authorized for import by the Food and Drug Administration when medically necessary during drug shortages.
Summary: This amendment allows Mississippi to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.
Summary: This amendment allows Oklahoma to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.
Summary: This SPA amends the provision to authorize coverage of drugs authorized for import by the Food and Drug Administration when medically necessary during drug shortages.
Summary: This SPA amends the State Plan to authorize coverage of drugs authorized for import by the Food and Drug Administration when medically necessary during drug shortages.
