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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 201 to 210 of 515 results
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
Links:
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Transmittal Number: MS-20-0019
State: Mississippi
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 make interim payments based on FFS utilization only to the fourteen (14) CMHCs that have had a decline in utilization due to the COVID-19 pandemic.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Financing & Reimbursement
Links:
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Transmittal Number: MS-20-0003
State: Mississippi
Summary: Modifies Attachment 4.19-A of Mississippi’s Title XIX State Plan. 
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MS-20-0018
State: Mississippi
Summary: Graduate Medical Education (GME) Payments are being submitted to allow the DIvision of Medicaid (DOM) to address calculations for GME payments for a hospital during a cap building period 
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: MS-20-0004
State: Mississippi
Summary: Proposes to revise language in the plan for providers to submit cost reports and any supporting data from hard copy to electronic upload
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Current State Plan
Links:
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Transmittal Number: MS-20-0017
State: Mississippi
Summary: Proposes to allow the state to revise language in the plan for providers to submit cost reports and any supporting data from hard copy to electronic upload
Approval Date:
Effective Date:
Topics:
  • Current State Plan
Links:
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Transmittal Number: MS-20-0001
State: Mississippi
Summary: Includes a reimbursement methodology for certain durable medical equipment (DME) and medical supplies that are not on the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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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
Links:
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Transmittal Number: MS-20-0014
State: Mississippi
Summary: Addresses CSP service delivery limitations during the COVID-19 emergency
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Delivery System
Links:
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Transmittal Number: MS-20-0011
State: Mississippi
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to waive all cost sharing for all beneficiaries, regardless of the ultimate diagnosis, for testing services and treatments for COVID-19, including vaccines, specialized equipment, and therapies.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Cost Sharing
Links:
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