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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 161 to 170 of 485 results
Transmittal Number: WA-20-0027
State: Washington
Summary: The purpose of this SPA is to increase the Medicaid rates for Assisted Living Facilities, Adult Family Homes, Adult Day Health, Agency Providers, Independent Providers, Nursing Facilities, and Nursing Facility Swing Beds. 
Approval Date:
Effective Date:
Topics:
  • Health Homes
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0031
State: Washington
Summary: update the related payment methodology based on actuarial analysis completed in June 2020
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: WA-20-0028
State: Washington
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind the following parts of Section 7.4 of the existing state plan: 1) Election A.1 to furnish medical assistance to uninsured group under 1902(a)(10)(A)(ii)(XXIII) and 1902(ss) of the Act; and 2) Election of B.1. to allow hospitals to make presumptive eligibility determinations for uninsured individuals described at section 1902(a)(10)(A)(ii)(XXIII) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
Links:
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Transmittal Number: WA-20-0017
State: Washington
Summary: Implements CMS guidance regarding Third Party Liability as outlined in the Bipartisan Budget Act (BBA) of 2018
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: AS-20-0001
State: American Samoa
Summary: Effective October 1, 2020, this amendment adds a new benefit of Personal Care Services and payment methodology for the service.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Program Administration
Links:
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Transmittal Number: WA-20-0024
State: Washington
Summary: Updates several fee schedule effective dates and made a technical correction (name change) for a Medicaid program.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0018
State: Washington
Summary: Directs the Health Care Authority to increase psychiatric per diem rates for community hospitals that serve patients in long-term commitments of 90 days or longer.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: WA-20-0019
State: Washington
Summary: Nursing Facility rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0005
State: Washington
Summary: update nursing facility rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0015
State: Washington
Summary: extends the provisions for rate enhancement for low volume, small rural hospitals
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Program Administration
Links:
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