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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 31 to 40 of 515 results
Transmittal Number: MD-24-0006
State: Maryland
Summary: Tis Maryland Medical Assistance Behavioral Health, Health Home Program reimbursement rates will increase by 8 percent
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MD-23-0014
State: Maryland
Summary: 1915(j)-state plan home and community-based services (HCBS) benefit.
Approval Date:
Effective Date:
Topics:
  • Home and community based services
Links:
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Transmittal Number: MD-23-0021
State: Maryland
Summary: This plan amendment provides coverage of the Collaborative Care Model (CoCM) statewide.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0025
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to revise rates to an hourly rate and a fifteen-minute add-on rate, remove rate freeze language, and revise service components to align with the Department of Mental Health requirements.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Reimbursement
  • Targeted Case Management
Links:
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Transmittal Number: MS-23-0030
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to increase reimbursement rates for orthodontic services by ten percent (10%).
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Dental
  • Reimbursement
  • Prior Authorization
Links:
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Transmittal Number: MS-23-0031
State: Mississippi
Summary: This amendment allows the Division of Medicaid to comply with the Inflation Reduction Act (IRA) requirement to attest to the coverage of all Advisory Committee on Immunization Practices recommended vaccines and their administration.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Vaccine
  • Program Administration
Links:
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Transmittal Number: MS-23-0024
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to add coverage for up to twelve ( 12) tobacco cessation counseling sessions per year.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Other Licensed Practitioners
Links:
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Transmittal Number: MS-23-0026
State: Mississippi
Summary: This amendment proposes to allow the Division of Medicaid to revise Non-Emergency Transportation (NET) broker reimbursement in accordance with an emergency contract.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Transportation
  • Reimbursement
Links:
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Transmittal Number: MD-23-0020
State: Maryland
Summary: This plan amendment implements an 8% rate increase, provided through the Maryland Budget Bill and the Governor's Supplemental budget, for the 1915 Home and Community-Based Services Program.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: MS-23-0015
State: Mississippi
Summary: This SPA provides Mississippi with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Medicaid and CHIP Program (MACPro)
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT