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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 141 to 150 of 341 results
Transmittal Number: TN-18-0001
State: Tennessee
Summary: This proposes to eliminate the payment for reserving a bed for a recipient temporarily absent from a nursing facility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MD-18-0006
State: Maryland
Summary: Update the reimbursement rate for Targeted Case Management providers by three and a half percent based on a legislative approved Cost of Living Adjustment.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: MD-18-0004
State: Maryland
Summary: Add Licensed Clinical Professional Art Therapists.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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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.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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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.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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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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Effective Date:
Topics:
  • Program Administration
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SHARE THIS MEDICAID STATE PLAN AMENDMENT
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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Topics:
  • Benefits
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Transmittal Number: TN-17-0003
State: Tennessee
Summary: This SPA proposes to bring Tennessee into compliance with the pharmacy reimbursement requirements in the Covered Outpatient Drug final rule with comment period (COD final rule) (CMS-2345-FC) (81 FR 5170) published on February 1, 2016.
Approval Date:
Effective Date:
Topics:
  • Prescription Drugs
Links:
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Transmittal Number: MD-17-0009
State: Maryland
Summary: The purpose of this SPA is to Move Free-Standing Dialysis Centers from Att. 4.19A&B to Att. 3.lA & Att. 4.19B.
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Topics:
  • Program Administration
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Transmittal Number: MD-17-0010
State: Maryland
Summary: This SPA updates Maryland's State Plan to update Recovery Audit Contractor Slate Plan pages and to request a waiver for the Recovery Audit Contractor.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT