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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 341 to 350 of 408 results
Transmittal Number: AK-12-001
State: Alaska
Summary: This amendment updates provider qualifications for physical therapy, occupational therapy, speech therapy, audiology, and rehabilitative services.
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Transmittal Number: MD-11-15
State: Maryland
Summary: This SPA modifies Attachments 4.19-A and 4.19-B of Marylands Title XIX State Plan. Specifically, SPA 11-015 implements regulations for provider preventable conditions and related payment adjustments for Medicaid.
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  • Financing & Reimbursement
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Transmittal Number: MD-11-015
State: Maryland
Summary: Implements regulations for provider preventable conditions and related payment adjustments for Medicaid.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MD-11-17
State: Maryland
Summary: This SPA adds language to the State Plan specific to the provision of Freestanding Birth Centers, pursuant to Section 2301 of the Affordable Care Act.
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  • Program Administration
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Transmittal Number: MD-11-12
State: Maryland
Summary: Updates the State Plan language and reduces fees paid to various practitioners by one percent.
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  • Financing & Reimbursement
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Transmittal Number: MD-11-21
State: Maryland
Summary: This SPA adds language that was inadvertently dropped on Maryland SPA 11-04, which expanded coverage to otherwise pregnant women and children who are aliens, under the Childrens Health Insurance Program Reauthorization Act (CHIPRA) Section 214 option.
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  • Eligibility
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Transmittal Number: MD-11-13
State: Maryland
Summary: Updates the State Plan to reflect the practice of andreimbursement for HIV targeted case management.
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  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: MD-11-16
State: Maryland
Summary: This is a Pharmacy SPA: it reduces dispensing fees by five percent. In addition, this amendment adds language regarding coverage of smoking cessation products for pregnant women to the pharmacy section of the State Plan. The pharmacy section has also been reformated for improved organization and clarity.
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Transmittal Number: MD-11-20
State: Maryland
Summary: This SPA, in accordance with Section 113 of the Childrens Health Insurance Program Reauthorization Act (CHIPRA), eliminates the previous requirements for deemed newborn Medicaid eligibility that the newborn must come home from the hospital to live with the mother, remain a member of the mothers household, and that the mother remain eligible for Medicaid, or would remain eligible if still pregnant. By virtue of this change, all newborns born to women covered by Medicaid for the child's birth, including coverage of an alien for labor and delivery as emergency medical services, are now covered as mandatory categorically needy.
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Transmittal Number: AK-11-006
State: Alaska
Summary: Modifies the coverage description for dentures by clarifying that certain services in preparation for dentures are not part of the annual/biennial denture expenditure as they are already covered under dental services.
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