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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 provides authority to cover and to reimburse for Psychiatric Residential Treatment Facility (PRTF) services for eligible Michigan Medicaid beneficiaries.
Summary: This amendment is submitted to add lactation services and the Advisory Committee on Immunization Practices (ACIP) adult vaccine assurance to the preventive services benefit.
Summary: This SPA provides Vermont with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Summary: The purpose of this SPA is to comply with the requirements within section 1905(a)(4)(F) of the Social Security Act to cover COVID-19 vaccines, vaccine administration, testing and treatment.
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 continue temporary coverage of provisions previously approved under Maine Covid-19 Disaster Relief authority until September 30, 2024.
Summary: This SPA adds mandatory coverage of COVID-19 vaccine and administration, testing, and treatment benefits as required by Section 9811 of the American Rescue Plan Act.