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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 191 to 200 of 529 results
Transmittal Number: MD-21-0012
State: Maryland
Summary: Updates the Professional Dispensing Fees for Maryland Medicaid Community Pharmacists.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-20-0019
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to continue the same stability payment rate method for Tribal 638 and Urban Indian Health programs into 2021 using the 2019, month actuals for 2020 and 202l until the PHE ends.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Reimbursement
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Transmittal Number: MD-20-0007
State: Maryland
Summary: This amendment is to increase Home and Community Based Services (HCBS) 1915(i) rates by 4 percentage as set by legislature. In addition, this amendment includes a technical correction to Att. 3.1i page 13 physical evaluation requirement language.  
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-20-0017
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to reimburse providers for interpreters required for limited and non-English speaking members and/or deaf/hard of hearing members, when these services are necessary and reasonable to communicate effectively with members regarding health needs.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
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Transmittal Number: MD-20-0006
State: Maryland
Summary: Increases the rates for the Behavioral Health, Health Home program, by 4 percent, for dates of service beginning July 1, 2020
Approval Date:
Effective Date:
Topics:
  • Health Homes
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Transmittal Number: OR-20-0016
State: Oregon
Summary: creates a bariatric rate for nursing facilities and establishes CNA staffing ratio requirements related to the facilities' bariatric census. 
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: MD-20-0004
State: Maryland
Summary: Expands the categories of providers allowed to order home health services to include nurse practitioners, and additionally revises the SPA language to reflect compliance with updated HH regulations and EVV requirements. 
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Program Administration
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Transmittal Number: OR-20-0003
State: Oregon
Summary: updates the allowance for a 29 percent increase to targeted case management (TCM) Services rates
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Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-20-0005
State: Maryland
Summary: increases nursing facility pay-for-performance program rates by four percent and focuses the program on

reportable outcomes
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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Transmittal Number: OR-20-0015
State: Oregon
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow retainer payments for certain services in 1915(k) state plan benefits.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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