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    Maryland Medicaid State Plan


    What is a state plan?
    A Medicaid and Children’s Health Insurance Program (CHIP) state plan is an agreement between a state and the Federal government telling 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 shows groups covered, services provided, methods for provider reimbursement and the administrative activities in use in the state.

    State Plan Format and Files
    The​ state plan has seven main sections with larger sections subdivided for ease of use, in addition to the MACPro SPAs.

    Section 1 – Single State Agency Organization
    Att. 3.1B – Att. 3.2A – Medically Needy Services, 1915(i) State Plan Services, Community First Choice​​
    Att. 4.14A – Att. 4.19B – Payment​ for Services: In​patient, Outpatient, HCBS, NEMT​​​​​​​​​​​​
    Att. 4.19C – Att. 4.44 – Skilled Nursing Facility Payment, Timely Claims, Data Exchanges, Enforcement​​

    Emergency Authority and Maryland COVID-19 Disaster State Plans
    The COVID-19 Disaster State Plans expire no later than 60 days after the end of the public health emergency.

    Maryland Children’s Health Insurance Program (CHIP)
    Maryland CHIP State Plan ​

    State Plan Updates
    Maryland Medicaid will update the state plan as the Centers for Medicare and Medicaid (CMS) approves amendments.