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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 141 to 150 of 519 results
Transmittal Number: NE-20-0016
State: Nebraska
Summary: Effective September 1, 2020, this amendment provides targeted rate increases for providers of mental health and behavioral health services, specifically individual psychotherapy, substance use assessment, and day rehabilitation services. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MD-20-0010
State: Maryland
Summary: Effective October 1, 2020, this amendment creates a public Emergency Service Transporter Supplemental Payment Program (ESPP) for public emergency service transportation providers. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Benefits
  • Current State Plan
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Transmittal Number: MD-20-0011
State: Maryland
Summary: Updates language including certification requirement and establishing a geographic differential rate targeted case management (TCM) services
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-20-0008
State: Maryland
Summary: updates state plan to increase the reimbursement rate for Target Case Management providers by four percent based on a legislative approved Cost of Living adjustment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Reimbursement
Links:
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Transmittal Number: MD-20-0012
State: Maryland
Summary: Update the Professional Dispensing Fees for Maryland Medicaid Community Pharmacists.
Approval Date:
Effective Date:
Topics:
  • Professional Dispensing Fee
Links:
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Transmittal Number: MD-21-0012
State: Maryland
Summary: Updates the Professional Dispensing Fees for Maryland Medicaid Community Pharmacists.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NE-20-0013
State: Nebraska
Summary: Increases rates for outpatient and professional services
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MD-20-0007
State: Maryland
Summary: This amendment is to increase Home and Community Based Services (HCBS) 1915(i) rates by 4 percentage as set by legislature. In addition, this amendment includes a technical correction to Att. 3.1i page 13 physical evaluation requirement language.  
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NE-20-0012
State: Nebraska
Summary: SFY21 Inpatient Provider Rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MD-20-0006
State: Maryland
Summary: Increases the rates for the Behavioral Health, Health Home program, by 4 percent, for dates of service beginning July 1, 2020
Approval Date:
Effective Date:
Topics:
  • Health Homes
Links:
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