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Medicaid State Plan Amendments

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.

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Transmittal Number: FL-20-0004
State: Florida
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to update the State Plan to include emergency provisions including: suspension of co-payments, adjust current benefits, expand telemedicine services, increase payment rates, eliminate sanctions for cost reports, and modify occupancy limits.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
  • Benefits
  • Prescription Drugs
  • reimbursement
Links:
Transmittal Number: ND-20-0030
State: North Dakota
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow the state to waive the 24 day limit for payment for a reserved day for therapeutic leave of absences for a resident of a nursing facility.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • reimbursement
Links:
Transmittal Number: NJ-20-0010
State: New Jersey
Summary: authorizes supplemental safety net payments to qualifying county nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: SD-20-0007
State: South Dakota
Summary: implements inflationary rate increases appropriated by the state during the 2020 legislative session
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
Transmittal Number: TN-20-0005
State: Tennessee
Summary: Limitations on amount, duration, and scope of Medical Care and Services provided to categorically and medically needy; methods and standards for establishing payment rates other types of care to include the covered service “Buprenorphine Enhanced Supportive Medication-Assisted Recovery and Treatment (BE-SMART)” for adults in addition to provider qualifications
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
Transmittal Number: NJ-20-0009
State: New Jersey
Summary: SFY20 Extension GME Supplement program
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: CA-20-0041
State: California
Summary: continue the Census Bureau wages exclusion
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
Transmittal Number: CA-20-0045
State: California
Summary: Increase the Blind Federal Poverty Level (FPL) and the Aged and Disabled FPL program income limits by increasing the income disregard to all countable income above the Supplemental Security Income/State Supplementary Payment (SSI/SSP) standard 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
  • Current State Plan
Links:
Transmittal Number: KS-20-0018
State: Kansas
Summary: Methods and standards for establishing payment rates for Nursing Facilities and Nursing Facilities for Mental Health
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: NE-20-0012
State: Nebraska
Summary: SFY21 Inpatient Provider Rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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