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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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Transmittal Number: NY-10-35
State: New York
Summary: Eliminates Case Management Services for School Supportive Health Services Program SSHSP.
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Transmittal Number: NY-07-45
State: New York
Summary: Reimbursement for Telehealth Services Provided by Certified Home Health Agency.
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  • Financing & Reimbursement
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Transmittal Number: NY-08-34
State: New York
Summary: Outpatient Upper Payment Limit Payments Non State Owned or Operated Government Generated Hospitals FMAP.
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  • Financing & Reimbursement
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Transmittal Number: MD-10-11
State: Maryland
Summary: This SPA defines the States coinsurance payment for Part B claims for all dual Medicare and full Medicaid covered individuals and Qualified Medicare Beneficiary-only individuals.
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Transmittal Number: NY-07-09
State: New York
Summary: Provides Supplemental Payments for Health and Hospitals Corporation Hospitals.
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Transmittal Number: NY-09-16
State: New York
Summary: Upper Payment Limit (UPL) Payments for HHCs (FMAP = 61.59%).
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  • Financing & Reimbursement
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Transmittal Number: NY-10-24
State: New York
Summary: Utilize Public Assistance Reporting Information System PARIS.
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Transmittal Number: MD-10-10
State: Maryland
Summary: This SPA updates a Memorandum of Agreement involving the Department of Health and Mental Hygiene; the Family Health Administration; the Title V Maternal and Child Health Agency; Title X Family Planning Program; and Special Supplemental Nutrition Program for Women, Infants and Children.
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Transmittal Number: NY-07-06
State: New York
Summary: Continues Various Cost Saving Measures for Non-Institutional Services.
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Transmittal Number: NY-10-10
State: New York
Summary: Expands Supplemental Rebate Program to Include Contractors Not In NMPI Program.
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