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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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Displaying 13221 - 13230 of 15867

New Jersey
Implementation of state upper payment limit for multi-source drugs.
Approval Date: May 31, 2012
Effective Date: May 19, 2011
Links:
Topics: Financing & Reimbursement Prescription Drugs
Share Transmittal Number NJ-11-03 via email

New York
2011-12 Private Psychiatric Hospital (PPH) Rate Freeze (FMAP = 50%).
Approval Date: May 31, 2012
Effective Date: January 1, 2012
Links:
Topics: Benefits
Share Transmittal Number NY-11-90 via email

Massachusetts
This amendment updates the methodology used to calculate payment rates for nursing facility services. Specifically it applies a total increase of $23.3 million to the current nursing facility user fee adjustment for fiscal year 2012 only; applies a total increaseof $3.7 million for an additional one-time add on payment based on each facility's user fee class; revises the determination of the Pediatric nursing facility rate based on 2006 cost reports instead of the most recently filed cost report; clarifies the criteria and documentation requirements for eligibility to receive P4P payments; and clarifies the provision for leave of absence days.
Approval Date: May 31, 2012
Effective Date: September 1, 2011
Links:
Topics: Financing & Reimbursement
Share Transmittal Number MA-11-013 via email

Montana
Provider Screening and Enrollment.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
Links:
Topics: Eligibility
Share Transmittal Number MT-12-002 via email

New Hampshire
Payment to freestanding birth center.
Approval Date: May 30, 2012
Effective Date: January 4, 2012
Links:
Topics: Financing & Reimbursement
Share Transmittal Number NH-12-002 via email

Idaho
This SPA implements the Medicaid/CHIP Provider Screening and Enrollment provision under section 6401 of the Affordable Care Act and section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
Links:
Topics: Eligibility
Share Transmittal Number ID-12-006 via email

Washington
This amendment is to implement the Medicaid/Children's Health Insurance Program (CHIP) Provider Screening and Enrollment provision under Section 6401 of the Affordable Care Act and Section 1866(j)(2)(A) of the Act to establish procedures under which screening is conducted with respect to providers of medical or other forms of service under Medicare, Medicaid and CHIP.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
Links:
Topics: No topics available
Share Transmittal Number WA-12-008 via email

Oregon
This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.
Approval Date: May 30, 2012
Effective Date: April 1, 2012
Links:
Topics: No topics available
Share Transmittal Number OR-12-004 via email

Florida
This SPA is for implementation of an electronic Asset Verification System (AVS) that will verify the assets of blind, aged or disabled applicants and recipients of Medicaid as required by Section 1940 of the Social Security Act.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
Links:
Topics: No topics available
Share Transmittal Number FL-12-005 via email

Wisconsin
Provider Screening and Enrollment.
Approval Date: May 30, 2012
Effective Date: January 1, 2012
Links:
Topics: No topics available
Share Transmittal Number WI-12-001 via email