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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 171 to 180 of 485 results
Transmittal Number: WA-20-0021
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 provide coverage for lab or x-ray services intended to diagnose or detect antibodies for COVID-19; increase certain payment rates; and extend resident absences from nursing facilities.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Reimbursement
Links:
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Transmittal Number: WA-20-0006
State: Washington
Summary: Adopts the eligibility group described in section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act (the “Work Incentives” eligibility group).
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: WA-20-0009
State: Washington
Summary: Establishes a new premium for a new eligibility group
Approval Date:
Effective Date:
Topics:
  • Premiums
  • Eligibility
Links:
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Transmittal Number: WA-20-0007
State: Washington
Summary: April 2020 Fee Schedule Effective Dates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0014
State: Washington
Summary: This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to allow cover the new optional group for COVID testing; apply less strict resource and income methods when determining eligibility for certain individuals; consider individuals evacuated from the state due to the emergency to continue to be residents; provide medical coverage to non-residents who are quarantined in the state due to COVID-19; allow hospitals to make presumptive eligibility decisions for certain individuals; suspend enrollment fees and premiums for all individuals; expand telehealth; add certain benefits and increase some payment rates related to the COVID-19 national emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Eligibility
  • Premiums
  • Cost Sharing
  • Benefits
  • Prescription Drugs
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0003
State: Washington
Summary: Updates the allowance for a 10% increase to the Behavioral Health Services (BHR) rates
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0016
State: Washington
Summary: Nursing Facilities Add-On payment during COVID-19 emergency
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: WA-20-0011
State: Washington
Summary: Makes changes to the 1915(k) Community First Choice state plan option to include changes related to Washington's response to the COVID-19 outbreak.
Approval Date:
Effective Date:
Topics:
  • Current State Plan
  • Disaster Relief
Links:
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Transmittal Number: WA-20-0012
State: Washington
Summary:  This SPA amends the Specialized Services section in the State Plan to note that specialized services delivered at the facility or those that take the resident into the community may be suspended due to a state or federal national emergency.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Current State Plan
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT
Transmittal Number: WA-20-0005
State: Washington
Summary: updates the fee schedule effective dates for several Medicaid programs and services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT