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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.

Search the Text of Medicaid State Plan Amendments
Showing 1 to 10 of 1863 results
Transmittal Number: OK-24-0013
State: Oklahoma
Summary:

This plan amendment increases the base rate for standard nursing facilities, nursing facilities serving patients with Acquired Immune Deficiency Syndrome (AIDS), and standard private and specialized private intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-24-0004
State: California
Summary:

This plan amendment renews and modifies the reimbursement rate methodology for Freestanding Skilled Nursing/Subacute Facilities Level-B, by authorizing aggregate increases to the weighted average Medi-Cal reimbursement rate components for labor and non-labor costs and authorizing a new Workforce Standards Program rate augmentation.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: CA-24-0029
State: California
Summary:

This plan amendment updates the list of government-operated hospitals subject to specified reimbursement methodologies for inpatient hospital services.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MA-24-0030
State: Massachusetts
Summary:

This plan amendment updates Clinical Laboratory rates.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-0018
State: Michigan
Summary:

This plan amendment updates Therapies rate.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: SC-24-0012
State: South Carolina
Summary:

This plan amendment update the rates for the core Rehabilitative Behavioral Health Services (RBHS) treatment services for private master's level providers and licensed psychologists.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MI-24-0020
State: Michigan
Summary:

This plan amendment updates rates for Prosthetic Orthotics.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: SC-24-0018
State: South Carolina
Summary:

This plan amendment updates the reimbursement methodology for Physician Services.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: NE-24-0008
State: Nebraska
Summary:

This plan amendment proposes change to the intermediate care facility for individuals with developmental disabilities inflation factor for state fiscal year 2025.

Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MA-24-0033
State: Massachusetts
Summary:

This plan amendment updates Private Duty Nursing rates.

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