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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 321 - 330 of 15764

North Dakota

This State Plan Amendment updates 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: December 20, 2024
Effective Date: December 31, 2024
Topics: Medicaid and CHIP Program (MACPro)

Colorado

This Amendment updates 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: December 20, 2024
Effective Date: December 1, 2024
Topics: Medicaid and CHIP Program (MACPro)

West Virginia

This amendment is to conduct Medicaid presumptive eligibility (PE) determinations. PE groups: children under age 19, parents and other caretaker relatives, pregnant women, adults, and former foster care children, the effective date is May 12, 2023. PE for individuals needing treatment for breast or cervical cancer, the effective date is January 1, 2023.

Approval Date: December 19, 2024
Effective Date: May 12, 2023
Topics: Coverage Eligibility Medicaid and CHIP Program (MACPro)

Arizona

This SPA amends the State plan to update Physician Administered Drug (PAD) reimbursement rates.

Approval Date: December 19, 2024
Effective Date: July 1, 2024
Topics: Physician Administered Drugs Prescribed Drugs Reimbursement

California

This SPA amendment, the state is implementing the final round of rate increases from a 2019 rate study, adding a new service called Person-Centered Future Planning, increasing the rate for Financial Management Services, and adding a new provider type to Community Living Arrangement Services.

Approval Date: December 19, 2024
Effective Date: January 1, 2025
Topics: Home and community based services

Virgin Islands

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: December 19, 2024
Effective Date: December 1, 2024
Topics: Medicaid and CHIP Program (MACPro) Program Administration

Maine

This plan amendment updates the payment methodology for private duty nursing and personal care services.

Approval Date: December 19, 2024
Effective Date: January 1, 2024

Maine

This plan amendment updates the payment methodology for certain rehabilitative services.

Approval Date: December 19, 2024
Effective Date: July 1, 2023

Maine

This plan amendment updates the payment methodology for certain rehabilitative services.

Approval Date: December 19, 2024
Effective Date: January 1, 2023

Maine

This plan amendment updates the payment methodology for certain rehabilitative services.

Approval Date: December 19, 2024
Effective Date: July 1, 2022