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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: Revises the criteria for participation in the critical access dental program, and increases payment rates for dental providers located outside of the Twin Cities metro area.
Summary: Allows registered dental hygienists , registered dental hygienists in extended functions and registered dental hygienists in alternative practice to enroll as Medi-Cal dental program billing providers.
Summary: This SPA exempts dental services and applicable ancillary services provided to beneficiaries of all ages from the 10% provider rate cut approved under Assembly Bill.
Summary: Revises the CarePlus ABP to add coverage for certain optional dental services full and partial dentures and repairs for beneficiaries age 21 and older.