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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: MA 20-0025
State: Massachusetts
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 pay a one time supplemental payments to chronic disease and rehabilitation inpatient hospitals.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
Transmittal Number: ND-20-0031
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 increase the payment for a reserved day for therapeutic leave of absences for a resident of an intermediate care facility to 60 days.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
Transmittal Number: OK-20-0036
State: Oklahoma
Summary: This amendment proposes to address the newly added mandatory benefit for coverage and reimbursement of medication-assisted treatment (MAT) in opioid treatment programs (OTPs) and office-based opioid treatment settings in compliance with Section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, HR 6, and, Section 1905(a) (29) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: OR-20-0019
State: Oregon
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 continue the same stability payment rate method for Tribal 638 and Urban Indian Health programs into 2021 using the 2019, month actuals for 2020 and 202l until the PHE ends.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • reimbursement
Links:
Transmittal Number: MN-20-0017
State: Minnesota
Summary: Effective for services on or after October 1, 2020, Minnesota 20-0017 will authorize the Department to provide ongoing interim payments to hospitals eligible to receive the inpatient hospital supplemental payment.  
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Financing & Reimbursement
Links:
Transmittal Number: KS-20-0023
State: Kansas
Summary: This amendment proposes to add silver diamine fluoride treatments to the list of covered EPSDT dental services. 
Approval Date:
Effective Date:
Topics:
  • Dental
Links:
Transmittal Number: KS-20-0019
State: Kansas
Summary: Updates the fee schedule to increase the reimbursement for cardiac catheterization to 80% of the annual non-rural Medicare rate, effective January 1, 2021. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: LA-20-0013
State: Louisiana
Summary: This state plan amendment is to amend the provisions governing hospice services provided concurrently with life-prolonging treatments to individuals under age 21 in order to update existing terminology and reflect current practices, and to comply with federal requirements which allow for pediatric concurrent care
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
Transmittal Number: KS-20-0021
State: Kansas
Summary: Updates the fee schedule to add two EPSDT counseling codes, effective January 1, 2021. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
Transmittal Number: AK-20-0008
State: Arkansas
Summary: This amendment makes permanent the authority to allow various provider types to order laboratory and radiology services.  In addition, the state adds coverage of heart and lung transplants for adults and all medically necessary transplants for children under 21 year of age within the inpatient hospital benefit.  
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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