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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 101 to 110 of 341 results
Transmittal Number: MD-20-0011
State: Maryland
Summary: Updates language including certification requirement and establishing a geographic differential rate targeted case management (TCM) services
Approval Date:
Effective Date:
Topics:
  • Program Administration
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Transmittal Number: MD-20-0008
State: Maryland
Summary: updates state plan to increase the reimbursement rate for Target Case Management providers by four percent based on a legislative approved Cost of Living adjustment.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Reimbursement
Links:
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Transmittal Number: MD-20-0012
State: Maryland
Summary: Update the Professional Dispensing Fees for Maryland Medicaid Community Pharmacists.
Approval Date:
Effective Date:
Topics:
  • Professional Dispensing Fee
Links:
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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
Links:
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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
Links:
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Transmittal Number: TN-20-0005
State: Tennessee
Summary: Limitations on amount, duration, and scope of Medical Care and Services provided to categorically and medically needy; methods and standards for establishing payment rates other types of care to include the covered service “Buprenorphine Enhanced Supportive Medication-Assisted Recovery and Treatment (BE-SMART)” for adults in addition to provider qualifications
Approval Date:
Effective Date:
Topics:
  • Program Administration
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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: 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: TN-20-0004
State: Tennessee
Summary: proposes to amend Tennessee’s professional dispensing fees
Approval Date:
Effective Date:
Topics:
  • Branded Prescription Drug Fees
  • Program Administration
Links:
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Transmittal Number: TN-20-0003
State: Tennessee
Summary: Deletes the obsolete covered service “Community Mental Retardation Clinics” and add “Methadone Clinic Services” for adults as a covered service
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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