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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 13771 - 13780 of 15998

Arizona
This SPA revises the reimbursement methodology for school-based claiming to provide a morecomprehensive, cost-based reconciliation process to enhance the identification of actual costs and improve the accuracy of claims reimbursement.
Approval Date: December 16, 2011
Effective Date: July 1, 2011
Topics: Financing & Reimbursement Program Administration

New Jersey

Adds Tobacco cessation services for pregnant women.

Approval Date: December 16, 2011
Effective Date: September 1, 2011

Alaska
Modifies the coverage description for dentures by clarifying that certain services in preparation for dentures are not part of the annual/biennial denture expenditure as they are already covered under dental services.
Approval Date: December 16, 2011
Effective Date: July 1, 2011

Idaho
Reduces the primary care case management monthly reimbursement amount and adds several services (laboratory, anesthesiology, radiology, and urgent care- when the PCCM provider's office is closed) to the list of services that do not require a PCCM referral.
Approval Date: December 16, 2011
Effective Date: August 1, 2011
Topics: Financing & Reimbursement Program Administration

California
Makes Technical Correction to SPA Number 05-010.
Approval Date: December 16, 2011
Effective Date: October 1, 2009

Arkansas
To implement a conflict-free case management, adds a small population of clients transitioning into the community from nursing facilities and revises the current reimbursement methodology for targeted case management beneficiaries age 60 and older.
Approval Date: December 16, 2011
Effective Date: October 1, 2012
Topics: Eligibility Financing & Reimbursement

Wisconsin
Eligibility irrevocable burial trusts.
Approval Date: December 16, 2011
Effective Date: February 1, 2012
Topics: Eligibility Financing & Reimbursement

Washington
Enacts Seven Percent Increase in Personal Care Service (PCS) for all 17 Levels of Medicaid Rates Paid to Licensed Boarding Homes that Have Contracts to Provide Assisted Living, Adult Residential Care, and Enhanced Adult Residential Care Services.
Approval Date: December 16, 2011
Effective Date: July 1, 2011

Washington
Re-establishes the School-Based Healthcare Services Program for Children in Special Education.
Approval Date: December 16, 2011
Effective Date: September 1, 2011

Washington
Implements Concurrent Care for Children on Hospice.
Approval Date: December 16, 2011
Effective Date: November 1, 2011