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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 261 to 270 of 554 results
Transmittal Number: AZ-18-003
State: Arizona
Summary: This SPA revises the reimbursement rate for specialty drugs dispensed by IHS and Tribal 638 facilities.
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  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: AZ-18-004
State: Arizona
Summary: This SPA establishes an Alternative Payment Methodology for Tribal 638 facilities that elect to be paid as Federally Qualified Health Centers (FQHCs).
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  • Financing & Reimbursement
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Transmittal Number: MD-18-0003
State: Maryland
Summary: The purpose of this SPA is to add coverage for adult hearing aids and cochlear implants.
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Topics:
  • Benefits
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Transmittal Number: AZ-18-005
State: Arizona
Summary: This SPA adds variances to the personal needs allowance for income garnished for child support and income garnished under a divorce decree.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: AZ-18-002
State: Arizona
Summary: This amendment updates All Patient Refined Diagnosis Related Group (APR-DRG) reimbursement for inpatient hospital services, effective January 1, 2018.
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  • Financing & Reimbursement
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Transmittal Number: AZ-18-001
State: Arizona
Summary: This amendment updates nursing facility rates effective January 1, 2018.
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  • Financing & Reimbursement
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Transmittal Number: MD-18-0002
State: Maryland
Summary: This Maryland SPA updates web links to the Department's new provider web page, as well as change any references to the Department's old name.
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  • Program Administration
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: MD-18-0001
State: Maryland
Summary: This Maryland SPA amend the SPA language to avoid duplication of ABA services provided by other programs and to clarify ABA payment procedures.
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  • Program Administration
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Transmittal Number: MD-11-19
State: Maryland
Summary: This SPA updates Maryland's State Plan add language specific to provision of tobacco cessation servicesfor pregnant women in accordance with the Affordable Care Act Section 4107, 1905(a)(4)(D).
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  • Benefits
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Transmittal Number: AZ-17-016
State: Arizona
Summary: Updates the State Plan establishes differential adjusted payments for integrated clinics, physicians, physician's assistants, and registered nurse practitioners.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT