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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.

Results

Displaying 241 - 250 of 15754

Texas

This amendment adds Federally Qualified Health Centers and Rural Health Clinics as providers of home telemonitoring services; clarifies that the term “home telemonitoring services” is synonymous with “remote patient monitoring;” and requires home telemonitoring providers to establish a plan of care with outcome measures for each patient and to share the plan and outcome measures with the patient’s physician.

Approval Date: January 16, 2025
Effective Date: September 1, 2024

Colorado

This plan amendment proposes to add Health Equity Payments to Medicaid Enrolled Primary Care Practices that Serve a High Proportion of Marginalized Patients.

Approval Date: January 16, 2025
Effective Date: July 1, 2024

South Carolina

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: January 15, 2025
Effective Date: October 1, 2024
Topics: Medicaid and CHIP Program (MACPro) Program Administration

Connecticut

This amendment is to increase its medically needy income levels.

Approval Date: January 15, 2025
Effective Date: October 1, 2024
Topics: Eligibility Medicaid and CHIP Program (MACPro)

Florida

This amendment proposes to update language regarding behavioral analysis services to clarify eligible providers and excluded procedures.

Approval Date: January 15, 2025
Effective Date: October 1, 2024
Topics: Other Licensed Practitioners Program Administration

Oklahoma

This plan amendment increases rates for personal care services and skilled nursing evaluations.

Approval Date: January 15, 2025
Effective Date: October 1, 2024

California

This plan amendment authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency transports provided between July 1, 2024, and June 30, 2025.

Approval Date: January 15, 2025
Effective Date: July 1, 2025

Louisiana

This SPA is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Approval Date: January 15, 2025
Effective Date: December 31, 2024
Topics: Medicaid and CHIP Program (MACPro)

Oklahoma

This plan amendment establishes an add-on rate for nursing facilities that serve high-acuity tracheostomy dependent patients.

Approval Date: January 15, 2025
Effective Date: October 1, 2024

Alaska

This SPA is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Alaska's state plan, and make related changes to other eligibility groups covered under its state plan.

Approval Date: January 15, 2025
Effective Date: January 1, 2025
Topics: Medicaid and CHIP Program (MACPro)