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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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Showing 1 to 10 of 15303 results
Transmittal Number: NJ-24-0021
State: New Jersey
Summary:

This amendment adds enhanced mobile crisis services to the Medicaid state plan.

Approval Date:
Effective Date:
Topics:
  • Coverage and Reimbursement
Links:
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Transmittal Number: AR-24-0017
State: Arkansas
Summary:

This plan amendment updates the rates for specialized formula and associated supplies.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: OK-24-0025
State: Oklahoma
Summary:

This amendment extends the exception for the Recovery Audit Contractor (RAC) Program for an additional two-year period.

Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0029
State: Kansas
Summary:

This amendment discontinues health homes from the alternative benefit plan.

Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: KS-24-0030
State: Kansas
Summary:

This amendment discontinues health homes from the Supports and Training for Employing People Successfully (STEPS) program alternative benefit plan.

Approval Date:
Effective Date:
Topics:
  • Alternative Benefit Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-24-0011
State: California
Summary:

This amendment will implement a Medicare Part A buy-in agreement between the California Department of Health Care Services (DHCS) with CMS.

Approval Date:
Effective Date:
Topics:
  • Premiums
Links:
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Transmittal Number: WY-24-0004
State: Wyoming
Summary:

This amendment temporarily suspends beneficiary cost sharing for pharmacy claims with dates of service from February 22, 2024 to June 30, 2024. The terms of this State Plan Amendment sunset at midnight on June 30, 2024.

Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WI-24-0016
State: Wisconsin
Summary:

This plan amendment updates the inpatient hospital state plan to require that hospitals be located within the State of Wisconsin in order to qualify for payments under the standard Disproportionate Share Hospital (DSH) payment program.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WI-24-0018
State: Wisconsin
Summary:

This plan amendment updates the annual nursing home fee-for-service rate.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: ME-24-0012
State: Maine
Summary:

This plan amendment updates the payment methodology for family planning se1vices paid under the clinic benefit.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT