Medicaid State Plan Scanned PDF Version
Section 4 – General Program Administration
Attachments 4.11-A through 4.18-F - Standards for Institutions; Utilization Control; Cooperative Arrangements; Liens, Adjustments or Recoveries; Premiums and Cost Sharing
Attachment 4.19-A – Inpatient Hospital Payments
Attachment 4.19-B – Payments for Services (excluding Hospital and Nursing Facilities)
- Attachment 4.19-B pages 1-11 - Other Types of Care
- Attachment 4.19-B pgs. 13.A-C Diagnostic, Preventive
- Attachment 4.19-B pg. 13.D Rehab Benefits
- Attachment 4.19-B Payments 15-17 - Other Types of Care
Attachment 4.19-D Nursing Facility Principals of Reimbursement
Attachments 4.19-E through 4.42-A - Claim Definitions; Third-Party Liability; RIte Share; Income Verification System Procedures; Issuance