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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.
Summary: This amendment designates Lisa Lee, Commissioner of the KY Department for Medicaid Services, as the Governor’s designee for review and approval of state plan amendments.
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan to update the dental fee schedules for adults and children by adding Current Dental Terminology (CDT) code 02990 (Composite Resin for Smooth Surface Incipient Lesions) to the adult and children's dental fee schedules.
Summary: This SPA amends Attachment 4.19-B of the Medicaid State Plan by updating the physician office and outpatient fee schedule to increase the rates for select long-acting reversible contraceptive devices. This SPA also updates the reimbursement methodology for gender reassignment services to ensure that the services paid under the fee schedule include all medically necessary gender reassignment services.
Summary: Increase the income standard for the Parents and Other Caretaker Relatives eligibility group from 150% of the Federal Poverty Limit (FPL) to 155% of the FPL.
Summary: Include coverage and reimbursement language for PPEC services in the Mississippi Medicaid State Plan under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit, effective January 1, 2020.
Summary: update the home health services fee schedule by increasing the rates by one percent (1 %) for Health Care Procedural Coding System (HCPCS) codes Tl00 4 (Services of a qualified nursing aide, up to 15 minutes) and Tl021 (Home Health aide or certified nurse assistant, per visit) provided by licensed home health agencies.
Summary: Amends the date of the fee schedules effective January I, 2020 to update Medicare fees, additions, deletions, or changes to procedure codes when Medicare releases and updates their fee schedule. Fee schedule updates for the following services will remain budget neutral: Other Laboratory and X-Ray; Physicians; Free Standing Birthing Centers: Licensed Direct Entry Midwifes; Denturists; Dental Hygienists; Dentures; Dental; and Transportation.
