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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 671 to 680 of 1082 results
Transmittal Number: MD-15-0015
State: Maryland
Summary: Reducing NF rates and revising the phase-in schedule of price-based RUGS.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-15-0005
State: New York
Summary: This SPA adds Erie County Medical Center to the list of Eligible Providers regarding supplemental payments to5certain professional practitioners. These supplemental payments are applicable only to the professional component of the eligible services provided.
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Effective Date:
Topics:
  • Eligibility
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Transmittal Number: MD-15-0012
State: Maryland
Summary: This SPA was in response to a companion letter for MD 15-0004 requiring the State to update their Ambulatory Surgical Center 4.19B pages 31 & 38.
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Topics:
  • Program Administration
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Transmittal Number: MD-15-0010
State: Maryland
Summary: This SPA clarifies that mental health services provided in an Intermediate Care Facility for Addictions are reimbursed as part of the JCF-A provider's per diem rate and not separately.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-15-0060
State: New York
Summary: This SPA proposes to reflect technical change updates to Community First Choice.
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: NY-13-0035
State: New York
Summary: Updates the reimhbursement methodology of CFC.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: NY-15-0017
State: New York
Summary: Additional temporary enhanced Vital Access Provider / Safety Net Provider payments to a specific provider for inpatient hospital services.
Approval Date:
Effective Date:
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  • Financing & Reimbursement
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Transmittal Number: MD-15-0008
State: Maryland
Summary: Allows physician assistance to enroll, and be reimbursement, as Medicaid Providers.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: NY-15-0003
State: New York
Summary: Express Lane for Children on TA.
Approval Date:
Effective Date:
Topics:
  • Benefits
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Transmittal Number: NY-14-0004-A
State: New York
Summary: Proposes Supplemental Payments to hospitals operated by Health and Hospitals Corporation in NY city other than specialty hospitals for the period April 1, 2014 through March 31, 2014 in the amount of $274,284,787.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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