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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 21 to 30 of 586 results
Transmittal Number: HI-24-0007
State: Hawaii
Summary: This plan amendment proposes to increase the reimbursement rate for all vaccine administration services for both pediatrics and adults and to clarify and consolidate the payment parameters for vaccine administration.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-24-0046
State: Washington
Summary: This amendment is to add Certified Behavioral Health Support Specialists (BHSS) as Medicaid providers to the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
Links:
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Transmittal Number: WA-24-0036
State: Washington
Summary: This plan amendment updated language to clarify current practices, updated the link for Washington’s Medicaid State Plan, and other clarifications. These changes are for clarification purposes only; payment methodologies are not changing.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: HI-24-0012
State: Hawaii
Summary: This amendment is to increase the monthly needs allowance for individuals living in certain long-term care facilities from $50 to $75 for individuals and $100 to $150 for couples.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-24-0035
State: Washington
Summary: This amendment updates Physician Assistant Services, Screening, Brief Intervention, Referral and Treatment Services Providers, and Collaborative Care Services Providers to the Medicaid State Plan.
Approval Date:
Effective Date:
Topics:
  • Coverage
  • Preventative Services
Links:
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Transmittal Number: WA-24-0037
State: Washington
Summary: This plan amendment clarifies mental health rate determination language without modifying the methodology for setting rates.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-24-0025
State: Washington
Summary: This plan amendment clarified the language and payment methodology for Rehabilitative/Behavioral Health Services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-24-0023
State: Washington
Summary: This SPA amends State Health Home Program to comply with new federal requirements for mandatory Health Home Core Set(s) reporting.
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Medicaid and CHIP Program (MACPro)
Links:
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Transmittal Number: WA-24-0029
State: Washington
Summary: This plan amendment updates the per diem rates for non-publicly owned hospitals will be increased and payment for services provided under the Substance Using Pregnant People program is an exception to the per diem rate determination for specialty services.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
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Transmittal Number: WA-24-0030
State: Washington
Summary: This plan amendment updates the dollar amounts for long-term civil commitment per diem rates and add language regarding per diem rate enhancements for Washington State free standing psychiatric hospitals that contract with the agency to provide services for long-term civil commitment patients.
Approval Date:
Effective Date:
Topics:
  • Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT