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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 261 to 270 of 519 results
Transmittal Number: MD-17-0002
State: Maryland
Summary: This SPA updates Maryland's State Plan to update covered outpatient drugs to include agents when used for cosmetic purposes or hair growth when medically necessary.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: NV-17-001
State: Nevada
Summary: Adds a new payment methodology for services provided in an ambulatory surgery setting.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: NV-16-018
State: Nevada
Summary: Revises the interim rate setting process for critical access hospitals.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MD-16-0010
State: Maryland
Summary: This SPA updates Maryland's State Plan to change methadone reimbursement to better align services delivered with payment.
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Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: NV-16-017
State: Nevada
Summary: Adds reimbursement methodology language for telehealth services and adds a payment methodologyfor select critical access hospitals.
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  • Financing & Reimbursement
Links:
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Transmittal Number: MD-16-0012
State: Maryland
Summary: This SPA creates a new bundled daily rate for Community First Choice providers delivering more than 12 hours daily to participants as directed by their plan of service.
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  • Financing & Reimbursement
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Transmittal Number: NV-15-008
State: Nevada
Summary: This SPA revises the reimbursement methodology for emergency transportation services provided by governmental entities.
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Topics:
  • Program Administration
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Transmittal Number: MD-16-0009
State: Maryland
Summary: This SPA updates Marylands State Plan to add Applied Behavioral Analysis service to children with an Autism Spectrum Diagnosis (ASD), to satisfy requirements under EPSDT.
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Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: NV-16-016
State: Nevada
Summary: The SPA revises the reimbursement rate for home health care services.
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Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NV-16-003
State: Nevada
Summary: The SPA allows providers to be reimbursed for up to three separate encounters per patient per day instead of requiring the patient to come on three different days to obtain all the necessary services (i.e. medical, behavioral health, and dental services).
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT