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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 21 to 30 of 13771 results
Transmittal Number: NY-23-0086
State: New York
Summary: 6.5 Investment - FQHC(Hospital) - NI
Approval Date:
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Topics:
  • Reimbursement
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Transmittal Number: NY-23-0090
State: New York
Summary: This plan proposes to increase the CFTSS Children’s Medicaid Rates by 4% for the Cost of Living Adjustment (COLA).
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Topics:
  • Reimbursement
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Transmittal Number: WA-23-0002
State: Washington
Summary: This SPA proposes a reimbursement methodology for physician administered drugs and updates references to the ASP (Average Sales Price) rate.
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Effective Date:
Topics:
  • Physician Administered Drugs
  • Reimbursement
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Transmittal Number: IN-23-0007
State: Indiana
Summary: This amendment adds enhanced mobile crisis services to the Medicaid state plan.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: AL-19-0002-A
State: Alabama
Summary: The primary purpose for this amendment is to make enhanced payments to physicians associated with certain publicly owned or operated hospitals.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: MO-23-0017
State: Missouri
Summary: This amendment allows Licensed Psychologists, Licensed Behavior Analysts, and Licensed Assistant Behavioral Analysts that work in states that border Missouri to provide Applied Behavioral Analysis services to Missouri Medicaid participants.
Approval Date:
Effective Date:
Topics:
  • coverage
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Transmittal Number: TX-23-0024
State: Texas
Summary: The updates in the state plan benefit accounts for rate increases in the following services: assisted living and in-home respite services.
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: CT-23-0013
State: Connecticut
Summary: One time supplemental payment for private providers of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) services.
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Topics:
  • Reimbursement
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Transmittal Number: MD-23-0013
State: Maryland
Summary: The Department is amending the State Plan to include language to clarify the specific Medicare rate used to set the Maryland rate for Medicare-covered Durable Medical Equipment (DME) and Durable Medical Supplies (DMS).
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Effective Date:
Topics:
  • Reimbursement
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Transmittal Number: LA-23-0007
State: Louisiana
Summary: The purpose of this SPA is to amend the provisions governing inpatient hospital services in order to remove language in the Medicaid State Plan that is obsolete.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
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