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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 111 to 120 of 163 results
Transmittal Number: NY-13-0035
State: New York
Summary: Updates the reimhbursement methodology of CFC.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-15-0031
State: New York
Summary: To clean-up the Targeted Case Management.
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  • Program Administration
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Transmittal Number: NY-14-038
State: New York
Summary: This amendment proposes to revise the NY single-state Medicaid Supplemental Rebate Agreement (SRA) to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.
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Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
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Transmittal Number: NY-14-0014
State: New York
Summary: This SPA eliminate the trend factor adjustment for 2014 in the calculation of rates for private psychiatric hospitals.
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Effective Date:
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Transmittal Number: NY-14-0016
State: New York
Summary: This SPA establishes a rate add-on to existing payment rates for health home services to distribute payment amounts approved in the State's Medicaid Redesign Team 1115 demonstration Waiver.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-14-0018
State: New York
Summary: This SPA continues to pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-14-0037
State: New York
Summary: This SPA adds seven western New York counties to the state Medicaid transportation management initiative effective November 1, 2014.
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  • Program Administration
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Transmittal Number: NY-13-27
State: New York
Summary: FMAP Free Standing Birth Centers.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-10-017
State: New York
Summary: Amends the Ambulatory Patient Group methodology for outpatient services, hospital based clinics ambulatory surgery services and emergency room services.
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Effective Date:
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  • Program Administration
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Transmittal Number: NY-11-085
State: New York
Summary: Revises reimbursement methodology for private ICF-IID facilities with less than 31 beds.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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